关键词: Aortic regurgitation Aortic stenosis Athletes Exercise Exercise participation Mitral regurgitation Mitral stenosis Pulmonic regurgitation Pulmonic stenosis Sports Valvular heart disease

Mesh : Adult Clinical Decision-Making Exercise Heart Valve Diseases / therapy Humans

来  源:   DOI:10.1007/s11886-021-01480-9

Abstract:
Valvular heart disease affects many individuals who aspire to partake in competitive or recreational sports. This manuscript reviews the most recent European and American guidelines related to exercise and sport participation in individuals with valvular heart disease (VHD) and identifies areas not addressed by these guidelines.
Exercise recommendations for individuals with VHD have been presented since at least 1984. There is limited data on the impact of intensive physical activity on the progression and outcomes of VHD. Therefore, current recommendations are based on consensus opinion. Most recent consensus guidelines address exercise participation in young and active older individuals. Exercise guidelines for patients with VHD have become progressively less restrictive to allow exercise participation for many VHD patients. These more progressive recommendations should be included in clinical decision-making when evaluating physical activity levels for athletes and active adults with VHD.
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