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Valvular Heart Disease in Athletes.
Bradley J Petek1, Aaron L Baggish2
1Division of Cardiology, Massachusetts General Hospital, Boston, MA, USA.
Athletes with valvular heart disease, including aortic stenosis and mitral regurgitation, have limited exercise data. This review examines current guidelines and data for managing these conditions in athletes.
Area of Science:
- Cardiology
- Sports Medicine
- Exercise Physiology
Background:
- Valvular heart disease affects athletes, with degenerative causes in older individuals and congenital/genetic links in younger ones.
- Current exercise guidelines for athletes with valvular disorders rely heavily on expert consensus due to limited data.
Purpose of the Study:
- To review current data and guideline recommendations for athletes with common valvular heart conditions.
- To address emerging clinical challenges in managing these athletes.
Main Methods:
- Literature review of existing data on valvular heart disease in athletes.
- Analysis of current guideline recommendations.
- Discussion of clinical conundrums and emerging issues.
Main Results:
- Prevalence of degenerative valvular disorders in older athletes.
- Association of congenital/genetic syndromes with valvular disorders in younger athletes.
- Identification of common valvular conditions: aortic stenosis, bicuspid aortic valve (BAV), mitral regurgitation (MR), mitral valve prolapse (MVP), and thoracic aortic aneurysms.
Conclusions:
- There is a need for more robust data on exercise risks and benefits for athletes with valvular heart disease.
- Expert consensus currently guides management, highlighting areas for further research and evidence-based recommendations.
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