Exercise and hypertrophic cardiomyopathy: Two incompatible entities?
cardiac hypertrophy
cardiac rehabilitation
cardiomyopathy
sports medicine
Journal
Clinical cardiology
ISSN: 1932-8737
Titre abrégé: Clin Cardiol
Pays: United States
ID NLM: 7903272
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
15
10
2019
revised:
27
01
2020
accepted:
27
01
2020
pubmed:
13
2
2020
medline:
9
6
2021
entrez:
13
2
2020
Statut:
ppublish
Résumé
A greater understanding of the pathogenic mechanisms underpinning hypertrophic cardiomyopathy (HCM) has translated to improved medical care and better survival of affected individuals. Historically these patients were considered to be at high risk of sudden cardiac death (SCD) during exercise; therefore, exercise recommendations were highly conservative and promoted a sedentary life style. There is emerging evidence that suggests that exercise in HCM has a favorable effect on cardiovascular remodeling and moderate exercise programs have not raised any safety concerns. Furthermore, individuals with HCM have a similar burden of atherosclerotic risk factors as the general population in whom exercise has been associated with a reduction in myocardial infarction, stroke, and heart failure, especially among those with a high-risk burden. Small studies revealed that athletes who choose to continue with regular competition do not demonstrate adverse outcomes when compared to those who discontinue sport, and active individuals implanted with an implantable cardioverter defibrillator do not have an increased risk of appropriate shocks or other adverse events. The recently published exercise recommendations from the European Association for Preventative Cardiology account for more contemporary evidence and adopt a more liberal stance regarding competitive and high intensity sport in individuals with low-risk HCM. This review addresses the issue of exercise in individuals with HCM, and explores current evidence supporting safety of exercise in HCM, potential caveats, and areas of further research.
Identifiants
pubmed: 32048747
doi: 10.1002/clc.23343
pmc: PMC7403677
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
889-896Informations de copyright
© 2020 The Authors. Clinical Cardiology published by Wiley Periodicals, Inc.
Références
JAMA. 2000 Jun 21;283(23):3095-101
pubmed: 10865304
J Electrocardiol. 2015 May-Jun;48(3):298-310
pubmed: 25680944
JAMA. 2006 Oct 4;296(13):1593-601
pubmed: 17018804
Eur Heart J. 2005 Mar;26(5):516-24
pubmed: 15689345
Heart Rhythm. 2009 Jul;6(7):993-7
pubmed: 19497790
Circulation. 2011 Apr 19;123(15):1594-600
pubmed: 21464047
Circulation. 2004 Jun 8;109(22):2807-16
pubmed: 15184297
N Engl J Med. 2000 Feb 10;342(6):365-73
pubmed: 10666426
Circulation. 2018 Jan 30;137(5):531-533
pubmed: 29378761
J Am Coll Cardiol. 2015 Dec 1;66(21):2362-2371
pubmed: 26542657
Am J Hum Genet. 2012 Sep 7;91(3):513-9
pubmed: 22958901
J Genet Couns. 2018 Sep 15;:
pubmed: 30220053
Eur Heart J. 2005 Jul;26(14):1422-45
pubmed: 15923204
N Engl J Med. 2018 Aug 09;379(6):524-534
pubmed: 30089062
Circulation. 2014 Nov 18;130(21):1868-75
pubmed: 25399395
Am J Med. 2004 Jan 1;116(1):63-5
pubmed: 14706671
Eur J Prev Cardiol. 2015 Jan;22(1):13-9
pubmed: 23928567
Circulation. 2010 Aug 24;122(8):790-7
pubmed: 20697029
Clin J Sport Med. 2009 Sep;19(5):347-65
pubmed: 19741306
JAMA Cardiol. 2016 Apr 1;1(1):98-105
pubmed: 27437663
JAMA Cardiol. 2017 Nov 1;2(11):1226-1235
pubmed: 28979980
Open Heart. 2016 Oct 17;3(2):e000488
pubmed: 27843566
Circulation. 2015 Jul 7;132(1):10-9
pubmed: 25977310
Circ Res. 2006 Mar 3;98(4):540-8
pubmed: 16439687
Heart. 2014 Apr;100(8):624-30
pubmed: 24326897
Circulation. 2003 Nov 11;108(19):2342-8
pubmed: 14581405
Circulation. 2013 May 21;127(20):2021-30
pubmed: 23690453
Eur Heart J. 2009 Nov;30(21):2599-605
pubmed: 19689975
J Am Coll Cardiol. 1997 Apr;29(5):1067-73
pubmed: 9120161
Eur Heart J. 2019 Jan 1;40(1):19-33
pubmed: 30561613
Eur J Cardiovasc Prev Rehabil. 2008 Jun;15(3):239-46
pubmed: 18525377
Circulation. 2009 Mar 3;119(8):1085-92
pubmed: 19221222
Clin Cardiol. 2020 Aug;43(8):889-896
pubmed: 32048747
J Am Coll Cardiol. 2013 Oct 1;62(14):1290-1297
pubmed: 23871885
J Am Coll Cardiol. 2016 Oct 11;68(15):1651-1660
pubmed: 27712778
JAMA. 2001 Sep 12;286(10):1218-27
pubmed: 11559268
Am J Cardiol. 2004 Jun 15;93(12):1510-4
pubmed: 15194022
Am J Cardiol. 2013 Apr 1;111(7):1034-9
pubmed: 23340032
Heart. 2002 Mar;87(3):247-51
pubmed: 11847164
Circulation. 2013 Feb 5;127(5):585-93
pubmed: 23275385
J Am Coll Cardiol. 2014 Apr 29;63(16):1636-43
pubmed: 24583295
Circulation. 1995 Aug 15;92(4):785-9
pubmed: 7641357
J Am Coll Cardiol. 2011 Oct 18;58(17):1780-91
pubmed: 21996391
Int J Cardiol. 2011 Dec 1;153(2):179-84
pubmed: 20851477
Heart. 2014 Aug;100(16):1227-34
pubmed: 25049314
Heart Rhythm. 2016 May;13(5):1155-1165
pubmed: 26749314
J Am Coll Cardiol. 2003 Dec 3;42(11):1959-63
pubmed: 14662259
Am Heart J. 2004 Nov;148(5):903-9
pubmed: 15523325
JAMA. 2017 Apr 4;317(13):1349-1357
pubmed: 28306757
Eur J Cardiovasc Prev Rehabil. 2008 Jun;15(3):247-57
pubmed: 18525378
Circulation. 2007 Mar 27;115(12):1643-455
pubmed: 17353433
J Am Coll Cardiol. 2016 May 10;67(18):2108-2115
pubmed: 27151341
BMJ. 2004 Jan 24;328(7433):189
pubmed: 14729656
Heart. 2016 Nov 15;102(22):1797-1804
pubmed: 27679836
Eur Heart J. 2014 Oct 14;35(39):2733-79
pubmed: 25173338
J Am Coll Cardiol. 2002 Jul 17;40(2):278-84
pubmed: 12106932
Circulation. 2001 Nov 20;104(21):2517-24
pubmed: 11714644
JAMA. 2002 Oct 23-30;288(16):1994-2000
pubmed: 12387651
Trop Doct. 2006 Oct;36(4):225-7
pubmed: 17034699
Eur Heart J. 2015 Jul 14;36(27):1735-43
pubmed: 25896080
Circulation. 1998 Dec 15;98(24):2709-15
pubmed: 9851957
Am J Cardiol. 1981 Mar;47(3):532-8
pubmed: 7193406
Circulation. 2010 Aug 17;122(7):743-52
pubmed: 20713909
Circulation. 2017 Jun 6;135(23):2310-2312
pubmed: 28584032
Arch Dis Child. 1984 Oct;59(10):971-5
pubmed: 6541894
Circ Cardiovasc Imaging. 2015 Jul;8(7):e003454
pubmed: 26198026
J Cardiovasc Electrophysiol. 2008 Oct;19(10):1118-26
pubmed: 18384577
J Echocardiogr. 2013 Mar;11(1):9-17
pubmed: 27278427
J Am Coll Cardiol. 2013 Jul 30;62(5):449-57
pubmed: 23643593
JAMA Cardiol. 2019 Nov 6;:1-8
pubmed: 31693057
Br Heart J. 1958 Jan;20(1):1-8
pubmed: 13499764
Open Heart. 2016 Jul 20;3(2):e000484
pubmed: 27547438
Am J Med. 2016 Nov;129(11):1170-1177
pubmed: 27039955
Am J Cardiol. 1987 Jan 1;59(1):183-4
pubmed: 3812242
Prev Med. 2004 May;38(5):651-61
pubmed: 15066369
Med Sci Sports Exerc. 2004 Mar;36(3):533-53
pubmed: 15076798
JACC Heart Fail. 2018 May;6(5):376-378
pubmed: 29724362
N Engl J Med. 2016 Jun 23;374(25):2441-52
pubmed: 27332903