Leon A.C.,Hospital Universitario Dr Negrin Of Gran Canaria |
Salvador J.J.G.,Hospital Universitario Dr Negrin Of Gran Canaria |
Casanova C.A.Q.,Hospital Universitario Dr Negrin Of Gran Canaria |
Casanova C.A.Q.,Hospital Perpetuo Socorro |
Aceytuno A.M.F.,Hospital Universitario Dr Negrin Of Gran Canaria
Archivos de Medicina del Deporte | Year: 2016
Safety of sport and physical activity in adult patients with congenital heart disease is still not well established. Recommendations on exercise in this subgroup of patients are usually pretty restrictive without having clear evidence for this, even though sport has shown significant cardiovascular benefits in both the general population and in patients with cardiovascular problems. Prevalence and survival of this population has increased considerably in recent decades due to early diagnosis, a substantial improvement in therapeutic measures, both surgical techniques and percutaneous, as well as aftercare and strict long term clinical monitoring.This is why it is increasingly common to find asymptomatic patients with good performance status and many doubts about their chances in sports. Doubts among professionals in establishing the best recommendations in relation to sport also arise. In the last years, it has become particularly relevant the study of the benefits and safety of these types of activities in this subgroup of patients. Researches focuses mainly on the safety of physical activity in patients with congenital heart disease, and fear that the practice of physical activity on a competitive level can significantly increase the risk of adverse events, especially arrhythmic events and sudden death. In this review, we analyzed numerous studies and current clinical practice guidelines, in order to establish recommendations for physical activity and its restrictions in terms of the different types of congenital heart disease.