Exercise recommendations for patients with hypertrophic cardiomyopathy

Bryde, Robyn; Martinez, Matthew W.; Emery, Michael S.

doi:10.1016/j.pcad.2023.05.004

Cited by 5 publications

(2 citation statements)

References 50 publications

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“…Less data are available on the effects of vigorous exercise [ 48 ]. This topic was discussed in the most recent article by Bryde and other authors, who emphasized the importance of physical activity in HCM management [ 49 ]. In a study by Larsen et al, where almost half of the patients with HCM were overweight (45% of 510 patients had a BMI ≥ 30 kg/m 2 ), the authors suggested that obesity can be a big attributing factor to a reduced exercise capacity unrelated to the disease itself [ 50 ].…”

Section: Recommendations For Exercise Prescription In Hypertrophic Ca...mentioning

confidence: 99%

The Role of Cardiopulmonary Exercise Testing in Hypertrophic Cardiomyopathy

Mikic,

Ristic,

Markovic Nikolic

et al. 2023

Medicina

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This review emphasizes the importance of cardiopulmonary exercise testing (CPET) in patients diagnosed with hypertrophic cardiomyopathy (HCM). In contrast to standard exercise testing and stress echoes, which are limited due to the ECG changes and wall motion abnormalities that characterize this condition, CPET allows for the assessment of the complex pathophysiology and severity of the disease, its mechanisms of functional limitation, and its risk stratification. It is useful tool to evaluate the risk for sudden cardiac death and select patients for cardiac resynchronization therapy (CRT), cardiac transplantation, or mechanical circulatory support, especially when symptomatology and functional status are uncertain. It may help in differentiating HCM from other forms of cardiac hypertrophy, such as athletes’ heart. Finally, it is used to guide and monitor therapy as well as for exercise prescription. It may be considered every 2 years in clinically stable patients or every year in patients with worsening symptoms. Although performed only in specialized centers, CPET combined with echocardiography (i.e., CPET imaging) and invasive CPET are more informative and provide a better assessment of cardiac functional status, left ventricular outflow tract obstruction, and diastolic dysfunction during exercise in patients with HCM.

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Section: Recommendations For Exercise Prescription In Hypertrophic Ca...mentioning

confidence: 99%

The Role of Cardiopulmonary Exercise Testing in Hypertrophic Cardiomyopathy

Mikic,

Ristic,

Markovic Nikolic

et al. 2023

Medicina

View full text Add to dashboard Cite

show abstract

“…However, there has been a shift in philosophy regarding sports participation in patients with HCM for two reasons. First, the overall relatively rare occurrence of SCD in young people with HCM including athletes and the increased morbidity and, second, the morbidity and mortality associated with inactivity in all individuals [24 ▪ ]. The cardiac output response to increasing metabolic demand is blunted in patients with HCM, mainly due to a reduced stroke volume reserve.…”

Section: Introductionmentioning

confidence: 99%

Hypertrophic cardiomyopathy and competitive sports: let ‘em play?

Masilamani,

Cannon

2024

Current Opinion in Cardiology

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Purpose of review Hypertrophic cardiomyopathy (HCM) is one of the most common cardiovascular genetic conditions. Although most patients with HCM typically do well clinically, there is a small but real incidence of sudden cardiac death. A diagnosis of HCM was previously a reason for complete exclusion in sports, particularly competitive sports. However, many of these recommendations are based on expert consensus, and much data has been published in the last decade furthering the scientific knowledge in this area, and allowing athletes who may have been previously excluded the potential to participate in strenuous activities and competitive sports. Recent findings With recent publications on participation in sports with HCM, as well as an emphasis on shared decision-making, more athletes with HCM are participating in competitive sports, even at a professional level. Even contact sports in the presence of an implantable cardioverter-defibrillator are no longer mutually exclusive in the current era. Summary Previous guidelines were likely overly restrictive for patients with HCM. Although there is a risk of sudden death that cannot be ignored, the potential for shared decision making as well as medical guidance are entering a new era in all aspects of medicine, particularly in sports participation.

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Shifting paradigms in hypertrophic cardiomyopathy: the role of exercise in disease management

Yamagata,

Borg

et al. 2024

Hellenic Journal of Cardiology

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Exercise recommendations for patients with hypertrophic cardiomyopathy

Cited by 5 publications

References 50 publications

The Role of Cardiopulmonary Exercise Testing in Hypertrophic Cardiomyopathy

The Role of Cardiopulmonary Exercise Testing in Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy and competitive sports: let ‘em play?

Shifting paradigms in hypertrophic cardiomyopathy: the role of exercise in disease management

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