Implantable Cardioverter-Defibrillator Therapy in Athletes

ElMaghawry, Mohamed; Migliore, Federico; Zorzi, Alessandro; Bauce, Barbara; Leoni, Loira; Bertaglia, Emanuele; Iliceto, Sabino; Corrado, Domenico

doi:10.1016/j.ccep.2012.12.004

Cited by 2 publications

(4 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients with an ICD are traditionally considered not eligible to engage in competitive sports activity, except for disciplines characterised by a low cardiovascular demand which do not expose to the risk of traumatic damage of the device [ 60 ]. However, there is growing evidence that ICD patients may practice sports safely.…”

Section: Implantable Cardioverter Defibrillator (Icd) and Sports Actimentioning

confidence: 99%

Inherited cardiomyopathies and sports participation

Zorzi

Pelliccia²,

Corrado

2018

Neth Heart J

View full text Add to dashboard Cite

Competitive sports activity is associated with an increased risk of sudden cardiovascular death in adolescents and young adults with inherited cardiomyopathies. Many young subjects aspire to continue competitive sport after a diagnosis of cardiomyopathy and the clinician is frequently confronted with the problem of eligibility and the request of designing specific exercise programs. Since inherited cardiomyopathies are the leading cause of sudden cardiovascular death during sports performance, a conservative approach implying disqualification of affected athletes from most competitive athletic disciplines is recommended by all the available international guidelines. On the other hand, we know that the health benefits of practicing recreational sports activity can overcome the potential arrhythmic risk in these patients, provided that the type and level of exercise are tailored on the basis of the specific risk profile of the underlying cardiomyopathy. This article will review the available evidence on the sports-related risk of sudden cardiac death and the recommendations regarding eligibility of individuals affected by inherited cardiomyopathies for sports activities.

show abstract

Section: Implantable Cardioverter Defibrillator (Icd) and Sports Actimentioning

confidence: 99%

Inherited cardiomyopathies and sports participation

Zorzi

Pelliccia²,

Corrado

2018

Neth Heart J

View full text Add to dashboard Cite

show abstract

“…2 Implantable cardioverter defibrillators (ICDs) may offer protection against sudden cardiac death (SCD) in at-risk athletes, but there is general concern that sports activity may influence the efficacy and safety of ICD therapy and increase rates of device and lead failure ( Figure 1). 3 First, neuroautonomic and metabolic changes associated with exertion, which induce high catecholamine levels, electrolyte imbalance, metabolic acidosis and alterations in cardiac loading, can lead to an increase of the defibrillation threshold (DFT) and induce arrhythmic storms whereby defibrillation may not be successful. Infusion of epinephrine at a dose mimicking adrenergic stimulation during mild to moderate exercise has been associated with a minimal increase of DFT and a decrease of first-shock efficacy in terminating ventricular fibrillation (VF) in ICD patients undergoing DFT testing.…”

mentioning

confidence: 99%

“…For these reasons, patients with an ICD have been traditionally considered not eligible to engage in competitive sports activity, except for disciplines characterised by a low cardiovascular demand. 3 However, despite these ample theoretical reasons to restrict athletes with ICDs from sports participation, there are conflicting viewpoints on the eligibility of ICD carriers to competition. 6 Scientific evidence that sports are dangerous and that competition increases the health risks in patients/athletes with an ICD is lacking.…”

mentioning

confidence: 99%