Recommendations for physical activity and recreational sports participation for young patients with genetic cardiovascular diseases

Barry J. Maron, Bernard R. Chaitman, Michael J. Ackerman, Antonio Bayés De Luna, Domenico Corrado, Jane E. Crosson, Barbara J. Deal, David J. Driscoll, N. A.Mark Estes, Claudio Gil S. Araújo, David H. Liang, Matthew J. Mitten, Robert J. Myerburg, Antonio Pelliccia, Paul D. Thompson, Jeffrey Towbin, Steven P. Van Camp

Research output: Contribution to journalArticle

414 Citations (Scopus)

Abstract

A group of relatively uncommon but important genetic cardiovascular diseases (GCVDs) are associated with increased risk for sudden cardiac death during exercise, including hypertrophic cardiomyopathy, long-QT syndrome, Marfan syndrome, and arrhythmogenic right ventricular cardiomyopathy. These conditions, characterized by diverse phenotypic expression and genetic substrates, account for a substantial proportion of unexpected and usually arrhythmia-based fatal events during adolescence and young adulthood. Guidelines are in place governing eligibility and disqualification criteria for competitive athletes with these GCVDs (eg, Bethesda Conference No. 26 and its update as Bethesda Conference No. 36 in 2005). However, similar systematic recommendations for the much larger population of patients with GCVD who are not trained athletes, but nevertheless wish to participate in any of a variety of recreational physical activities and sports, have not been available. The practicing clinician is frequently confronted with the dilemma of designing noncompetitive exercise programs for athletes with GCVD after disqualification from competition, as well as for those patients with such conditions who do not aspire to organized sports. Indeed, many asymptomatic (or mildly symptomatic) patients with GCVD desire a physically active lifestyle with participation in recreational and leisure-time activities to take advantage of the many documented benefits of exercise. However, to date, no reference document has been available for ascertaining which types of physical activity could be regarded as either prudent or inadvisable in these subgroups of patients. Therefore, given this clear and present need, this American Heart Association consensus document was constituted, based largely on the experience and insights of the expert panel, to offer recommendations governing recreational exercise for patients with known GCVDs.

Original languageEnglish (US)
Pages (from-to)2807-2816
Number of pages10
JournalCirculation
Volume109
Issue number22
DOIs
StatePublished - Jun 8 2004
Externally publishedYes

Fingerprint

Patient Participation
Inborn Genetic Diseases
Sports
Cardiovascular Diseases
Exercise
Athletes
Arrhythmogenic Right Ventricular Dysplasia
Long QT Syndrome
Marfan Syndrome
Hypertrophic Cardiomyopathy
Sudden Cardiac Death
Leisure Activities
Life Style
Cardiac Arrhythmias
Consensus
Guidelines
Population

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Maron, B. J., Chaitman, B. R., Ackerman, M. J., De Luna, A. B., Corrado, D., Crosson, J. E., ... Van Camp, S. P. (2004). Recommendations for physical activity and recreational sports participation for young patients with genetic cardiovascular diseases. Circulation, 109(22), 2807-2816. https://doi.org/10.1161/01.CIR.0000128363.85581.E1

Recommendations for physical activity and recreational sports participation for young patients with genetic cardiovascular diseases. / Maron, Barry J.; Chaitman, Bernard R.; Ackerman, Michael J.; De Luna, Antonio Bayés; Corrado, Domenico; Crosson, Jane E.; Deal, Barbara J.; Driscoll, David J.; Estes, N. A.Mark; Araújo, Claudio Gil S.; Liang, David H.; Mitten, Matthew J.; Myerburg, Robert J.; Pelliccia, Antonio; Thompson, Paul D.; Towbin, Jeffrey; Van Camp, Steven P.

In: Circulation, Vol. 109, No. 22, 08.06.2004, p. 2807-2816.

Research output: Contribution to journalArticle

Maron, BJ, Chaitman, BR, Ackerman, MJ, De Luna, AB, Corrado, D, Crosson, JE, Deal, BJ, Driscoll, DJ, Estes, NAM, Araújo, CGS, Liang, DH, Mitten, MJ, Myerburg, RJ, Pelliccia, A, Thompson, PD, Towbin, J & Van Camp, SP 2004, 'Recommendations for physical activity and recreational sports participation for young patients with genetic cardiovascular diseases', Circulation, vol. 109, no. 22, pp. 2807-2816. https://doi.org/10.1161/01.CIR.0000128363.85581.E1
Maron, Barry J. ; Chaitman, Bernard R. ; Ackerman, Michael J. ; De Luna, Antonio Bayés ; Corrado, Domenico ; Crosson, Jane E. ; Deal, Barbara J. ; Driscoll, David J. ; Estes, N. A.Mark ; Araújo, Claudio Gil S. ; Liang, David H. ; Mitten, Matthew J. ; Myerburg, Robert J. ; Pelliccia, Antonio ; Thompson, Paul D. ; Towbin, Jeffrey ; Van Camp, Steven P. / Recommendations for physical activity and recreational sports participation for young patients with genetic cardiovascular diseases. In: Circulation. 2004 ; Vol. 109, No. 22. pp. 2807-2816.
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AU - Deal, Barbara J.

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AU - Araújo, Claudio Gil S.

AU - Liang, David H.

AU - Mitten, Matthew J.

AU - Myerburg, Robert J.

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