Show Summary Details
Page of

Sports and Heart Disease 

Sports and Heart Disease
Chapter:
Sports and Heart Disease
Author(s):

Domenico Corrado

, Cristina Basso

, Antonio Pelliccia

, and Gaetano Thiene

DOI:
10.1093/med/9780199566990.003.032
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 22 August 2019

Sports activity is recommended by the medical community because it improves fitness and reduces cardiovascular morbidity and mortality. However, physical exercise may precipitate acute fatalities in both adults and young competitive athletes with concealed heart diseases. The risk:benefit ratio of physical exercise differs among these two age groups. In adults, physical activity can be regarded as a ‘two-edged sword’: vigorous exertion increases the incidence of acute coronary events in individuals who did not exercise regularly, whereas habitual physical activity reduces the overall risk of myocardial infarction and sudden coronary death by preventing development and progression of coronary atherosclerotic lesions. In adolescents and young adults, competitive sport is associated with a significant increase of the risk of sudden death. Sports is not the ‘per se’ cause of the enhanced mortality in this age group; rather, it acts as a trigger of cardiac arrest in those athletes who are affected by silent cardiovascular conditions, mostly cardiomyopathy, premature coronary artery disease, and congenital coronary anomalies, which predispose to life-threatening ventricular arrhythmias during effort. This points to the need for a preparticipation screening aimed at early identification and disqualification of those subjects affected by at-risk cardiovascular diseases....

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.