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Hypertrophic cardiomyopathy and competitive sports: let 'em play?
Mats Steffi Jennifer Masilamani1, Bryan Cannon
1Division of Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Current Opinion in Cardiology
|May 14, 2024
Summary
Athletes with hypertrophic cardiomyopathy (HCM) can now participate in competitive sports due to updated guidelines. Shared decision-making and medical guidance allow for safer participation, revising previous restrictive recommendations.
Area of Science:
- Cardiovascular Genetics
- Sports Cardiology
Background:
- Hypertrophic cardiomyopathy (HCM) is a common inherited heart condition.
- Sudden cardiac death is a rare but significant risk in HCM patients.
- Historically, HCM diagnosis led to exclusion from competitive sports.
Purpose of the Study:
- To review current literature on sports participation for athletes with HCM.
- To evaluate the evolution of guidelines and recommendations.
- To highlight the shift towards shared decision-making in managing HCM and sports.
Main Methods:
- Review of recent scientific publications on HCM and athletic performance.
- Analysis of updated expert consensus and clinical data.
- Emphasis on shared decision-making models.
Main Results:
- More athletes with HCM are engaging in competitive sports, including at professional levels.
- Contact sports are now feasible for some athletes with HCM, especially with an implantable cardioverter-defibrillator.
- Current data suggests previous guidelines may have been overly restrictive.
Conclusions:
- Revised approaches to sports participation in HCM are emerging.
- Shared decision-making empowers athletes and clinicians.
- Balancing the risk of sudden death with the benefits of sports participation is key.
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