TY - JOUR
T1 - Recommendations for participation in competitive sport in adolescent and adult athletes with Congenital Heart Disease (CHD)
T2 - position statement of the Sports Cardiology & Exercise Section of the European Association of Preventive Cardiology (EAPC), the European Society of Cardiology (ESC) Working Group on Adult Congenital Heart Disease and the Sports Cardiology, Physical Activity and Prevention Working Group of the Association for European Paediatric and Congenital Cardiology (AEPC)
AU - Budts, Werner
AU - Pieles, Guido E
AU - Roos-Hesselink, Jolien W
AU - Sanz de la Garza, Maria
AU - D'Ascenzi, Flavio
AU - Giannakoulas, George
AU - Müller, Jan
AU - Oberhoffer, Renate
AU - Ehringer-Schetitska, Doris
AU - Herceg-Cavrak, Vesna
AU - Gabriel, Harald
AU - Corrado, Domenico
AU - van Buuren, Frank
AU - Niebauer, Josef
AU - Börjesson, Mats
AU - Caselli, Stefano
AU - Fritsch, Peter
AU - Pelliccia, Antonio
AU - Heidbuchel, Hein
AU - Sharma, Sanjay
AU - Stuart, A Graham
AU - Papadakis, Michael
N1 - Niebauer: University Institute of Sports Medicine, Prevention and Rehabilitation, Paracelsus Medical University, Strubergasse 21, 5020 Salzburg,Austria;1
PY - 2020/11/14
Y1 - 2020/11/14
N2 - Improved clinical care has led to an increase in the number of adults with congenital heart disease (CHD) engaging in leisure time and competitive sports activities. Although the benefits of exercise in patients with CHD are well established, there is a low but appreciable risk of exercise-related complications. Published exercise recommendations for individuals with CHD are predominantly centred on anatomic lesions, hampering an individualized approach to exercise advice in this heterogeneous population. This document presents an update of the recommendations for competitive sports participation in athletes with cardiovascular disease published by the Sports Cardiology & Exercise section of the European Association of Preventive Cardiology (EAPC) in 2005. It introduces an approach which is based on the assessment of haemodynamic, electrophysiological and functional parameters, rather than anatomic lesions. The recommendations provide a comprehensive assessment algorithm which allows for patient-specific assessment and risk stratification of athletes with CHD who wish to participate in competitive sports.
AB - Improved clinical care has led to an increase in the number of adults with congenital heart disease (CHD) engaging in leisure time and competitive sports activities. Although the benefits of exercise in patients with CHD are well established, there is a low but appreciable risk of exercise-related complications. Published exercise recommendations for individuals with CHD are predominantly centred on anatomic lesions, hampering an individualized approach to exercise advice in this heterogeneous population. This document presents an update of the recommendations for competitive sports participation in athletes with cardiovascular disease published by the Sports Cardiology & Exercise section of the European Association of Preventive Cardiology (EAPC) in 2005. It introduces an approach which is based on the assessment of haemodynamic, electrophysiological and functional parameters, rather than anatomic lesions. The recommendations provide a comprehensive assessment algorithm which allows for patient-specific assessment and risk stratification of athletes with CHD who wish to participate in competitive sports.
KW - Adolescent
KW - Adult
KW - Athletes
KW - Cardiology
KW - Child
KW - Exercise
KW - Heart Defects, Congenital
KW - Humans
KW - Sports
U2 - 10.1093/eurheartj/ehaa501
DO - 10.1093/eurheartj/ehaa501
M3 - Original Article
C2 - 32845299
SN - 0195-668X
VL - 41
SP - 4191
EP - 4199
JO - EUROPEAN HEART JOURNAL
JF - EUROPEAN HEART JOURNAL
IS - 43
ER -