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Exercise Training In Athletes With Heart Disease.
Antonio B Fernandez1, Paul D Thompson1
1Division of Cardiology, Hartford Hospital, Hartford, CT.
Progress in Cardiovascular Diseases
|May 16, 2017
Summary
Exercise can benefit cardiovascular health but carries risks for individuals with underlying heart conditions. Balancing exercise benefits and risks is crucial for athletes with occult cardiovascular disease (CVD).
Area of Science:
- Cardiology
- Sports Medicine
- Preventive Cardiology
Background:
- Increased participation in exercise and sports across all age groups.
- Growing number of individuals with cardiovascular disease (CVD) engaging in physical activity.
- Exercise offers cardiovascular benefits but poses risks, especially for those with undiagnosed CVD.
Purpose of the Study:
- To review the risks and benefits of exercise in active individuals with CVD.
- To outline an approach for evaluating and managing exercise-related risks in athletes with CVD.
- To address the lack of clinical trials guiding management of athletes with occult CVD.
Main Methods:
- Narrative review of existing literature.
- Discussion of the impact of habitual physical activity and exercise training on atherosclerotic CVD (ASCVD) risk factors.
- Exploration of the increased risk of sudden cardiac death associated with exercise in individuals with occult CVD.
Main Results:
- Habitual physical activity reduces ASCVD risk in a curvilinear manner.
- Exercise can increase the risk of sudden cardiac death in individuals with occult CVD.
- Current clinical guidelines for managing athletes with occult CVD are limited.
Conclusions:
- Balancing the benefits and risks of exercise is essential for individuals with CVD.
- A structured approach to evaluating and managing exercise risks is needed for athletes with CVD.
- Further research, including clinical trials, is required to inform management strategies.
Keywords:
AtherosclerosisCongenital cardiac diseaseCoronary artery diseaseExerciseExercise trainingHypertrophic cardiomyopathyMyocardial infarctionPhysical activity athleteSudden cardiac deathMore Related Videos
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