Exercise recommendations for patients with hypertrophic cardiomyopathy

Robyn Bryde; Matthew W Martinez; Michael S Emery

doi:10.1016/j.pcad.2023.05.004

Exercise recommendations for patients with hypertrophic cardiomyopathy

Prog Cardiovasc Dis. 2023 Sep-Oct:80:53-59. doi: 10.1016/j.pcad.2023.05.004. Epub 2023 May 16.

Authors

Robyn Bryde¹, Matthew W Martinez², Michael S Emery³

Affiliations

¹ Department of Cardiovascular Diseases, Mayo Clinic, Jacksonville, FL, USA.
² Department of Cardiovascular Medicine, Atlantic Health, Morristown Medical Center, Morristown, NJ, USA; Sports Cardiology and Hypertrophic Cardiomyopathy, Morristown Medical Center, Morristown, NJ, USA.
³ Sports Cardiology Center, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address: EMERYM2@ccf.org.

PMID: 37201741
DOI: 10.1016/j.pcad.2023.05.004

Abstract

Individuals with hypertrophic cardiomyopathy (HCM) have historically been advised to limit exercise and sports participation to mild-intensity activities due to concerns for sudden cardiac arrest (SCA). However, more contemporary data have shown SCA is rare in patients with HCM and emerging data is shifting towards support for the safety of exercise in this patient population. Recent guidelines endorse exercise in patients with HCM after a comprehensive evaluation and shared-decision making with an expert provider.

Keywords: Cardiopulmonary exercise test; Exercise; Exercise prescription; Hypertrophic cardiomyopathy; Sports participation; Sudden cardiac death.

Publication types

Review

MeSH terms

Cardiomyopathy, Hypertrophic* / diagnosis
Cardiomyopathy, Hypertrophic* / therapy
Death, Sudden, Cardiac / epidemiology
Death, Sudden, Cardiac / etiology
Death, Sudden, Cardiac / prevention & control
Exercise
Exercise Test
Heart Arrest*
Humans
Sports*