Antonio B Fernandez1,2,3, Paul D Thompson4,5. 1. Division of Cardiology, Hartford Hospital, 80 Seymour Street, Hartford, CT, 06102, USA. antonio.fernandez@hhchealth.org. 2. Department of Internal Medicine, University of Connecticut, Farmington, CT, USA. antonio.fernandez@hhchealth.org. 3. Cardiac Intensive Care Unit, Hartford Hospital, 80 Seymour Street, Hartford, CT, 06102, USA. antonio.fernandez@hhchealth.org. 4. Division of Cardiology, Hartford Hospital, 80 Seymour Street, Hartford, CT, 06102, USA. 5. Department of Internal Medicine, University of Connecticut, Farmington, CT, USA.
Abstract
PURPOSE OF REVIEW: Valvular heart disease affects many individuals who aspire to partake in competitive or recreational sports. This manuscript reviews the most recent European and American guidelines related to exercise and sport participation in individuals with valvular heart disease (VHD) and identifies areas not addressed by these guidelines. RECENT FINDINGS: Exercise recommendations for individuals with VHD have been presented since at least 1984. There is limited data on the impact of intensive physical activity on the progression and outcomes of VHD. Therefore, current recommendations are based on consensus opinion. Most recent consensus guidelines address exercise participation in young and active older individuals. Exercise guidelines for patients with VHD have become progressively less restrictive to allow exercise participation for many VHD patients. These more progressive recommendations should be included in clinical decision-making when evaluating physical activity levels for athletes and active adults with VHD.
PURPOSE OF REVIEW: Valvular heart disease affects many individuals who aspire to partake in competitive or recreational sports. This manuscript reviews the most recent European and American guidelines related to exercise and sport participation in individuals with valvular heart disease (VHD) and identifies areas not addressed by these guidelines. RECENT FINDINGS: Exercise recommendations for individuals with VHD have been presented since at least 1984. There is limited data on the impact of intensive physical activity on the progression and outcomes of VHD. Therefore, current recommendations are based on consensus opinion. Most recent consensus guidelines address exercise participation in young and active older individuals. Exercise guidelines for patients with VHD have become progressively less restrictive to allow exercise participation for many VHD patients. These more progressive recommendations should be included in clinical decision-making when evaluating physical activity levels for athletes and active adults with VHD.
Authors: Benjamin D Levine; Aaron L Baggish; Richard J Kovacs; Mark S Link; Martin S Maron; Jere H Mitchell Journal: Circulation Date: 2015-11-02 Impact factor: 29.690