Exercise Restriction (AHA 2015)

Question 1

HoCM

Answer 1

Avoid High Intensity Exercise (Low-moderate OK)

Question 2

LV non compaction:

Answer 2

Avoid High Intensity sports if LV dysfunction (If normal LV function, can consider)

Question 3

Myocarditis:

Answer 3

No High Intensity/Competitive sports until 6 months with normal EST, Holter and Echocardiogram

Question 4

ARVC:

Answer 4

No High Intensity/Competitive sports (Low-Moderate intensity OK)

Question 5

Aortic Coarctation

Answer 5

If difference > 20mmhg, than no high intensity sports

Question 6

After Coarctation repair:

Answer 6

3 months if successful repair

Question 7

Pulmonary Hypertension

Answer 7

If mPAP > 25mmhg, only low intensity sports allowed

Question 8

Cyanotic Heart Disease

Answer 8

If mPAP > 25mmhg, only low intensity sports allowed

Question 9

Any Severe Valvular disease

Answer 9

No competitive sports, low intensity exercise only

Question 10

On DOACs?

Answer 10

Low-Moderate Intensity OK if low risk of bodily contact

Question 11

Aortopathy?

Answer 11

If above 4cm -> Low to moderate OK , avoid weight lifting or Valsalva

Question 12

Coronary spasm?

Answer 12

Can participate in all level of sports as long as controlled on medications

Question 13

Pacemakers?

Answer 13

Should not participate in high impact sports if pacemaker dependent (Risk of damage to pacemaker)

Question 13

Pacemakers?

Answer 13

Should not participate in high impact sports if pacemaker dependent (Risk of damage to pacemaker) ; If not dependent and in impact sports, make sure to wear padding over the site

Question 13

AAD for VT OR post ablation in structurally normal heart?

Answer 13

if no VT 3 months post ablation or on AAD than can participate in all activity

Question 14

VT with structural heart disease?

Answer 14

No participation in moderate to high intensity sports

Question 15

Cardiac Syncope?

Answer 15

No participation in moderate-high intensity until work up is complete

Question 16

Channelopathy?

Answer 16

If asymptomatic- no restriction

Question 17

CPVT?

Answer 17

No activity accept Class 1a sports (low intensity)

Question 18

Review Classification of Sports