Hospital Universitario Dr Negrin Of Gran Canaria

Las Palmas de Gran Canaria, Spain

Hospital Universitario Dr Negrin Of Gran Canaria

Las Palmas de Gran Canaria, Spain
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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 Perpetuo Socorro | Aceytuno A.M.F.,Hospital Universitario Dr Negrin Of Gran Canaria
Archivos de Medicina del Deporte | Year: 2017

The safety of physical activity in athletes who have presented a syncope is not well established. It differs in some aspects from the management of syncope in the general population. Although syncope in athletes is generally benign, inadequate assessment can have dire consequences. Syncope may be the prelude to episodes of sudden death. It is a frequent phenomenon in the general population, it is estimated that up to 50% of the population may present a syncopal episode throughout life, as well as relatively infrequent in the sports population. It is estimated that around 6% of athletes may experience syncope at 5 years of follow-up. An adequate differential diagnosis is essential. The etiology of these episodes can be very diverse, although in most cases, we are faced with benign cause syncopes that appear right after exercise. However, it is necessary to be systematic and rational when considering other diagnostic studies that allow us to rule out malignant cardiological pathologies such as cardiomyopathies, channelopathies, etc. Likewise, many doubts arise among professionals when it comes to establishing the best recommendations in relation to continuing physical activity at the professional level. It is really important to establish an algorithm of decisions about proper management of them. Particular caution should be taken when suspending physical activity in athletes who present syncopal episodes of benign etiology or treatable causes. Current research focuses mainly on the safety of sports activity in athletes with syncopal episodes and the fear that the persistence of the practice of physical activity at a competitive level can significantly increase the risk of adverse events, especially arrhythmic events and sudden death. In this review, we will analyze numerous studies and guidelines of clinical practice, in order to establish the recommendations for an adequate assessment of syncope of the athlete, as well as the restriction of sports activity in pathologies that can be potentially lethal.


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.

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