Exercise After Acute Myocarditis: When and How to Return to Sports

Robyn E. Bryde; Leslie T. Cooper; De Lisa Fairweather; Damian N. Di Florio; Matthew W. Martinez

doi:10.1016/j.ccep.2023.09.011

Exercise After Acute Myocarditis: When and How to Return to Sports

Robyn E. Bryde, Leslie T. Cooper, De Lisa Fairweather, Damian N. Di Florio, Matthew W. Martinez

Cardiovascular Diseases

Research output: Contribution to journal › Review article › peer-review

Abstract

Myocarditis is an inflammatory disease of the myocardium secondary to infectious and noninfectious insults. The most feared consequence of myocarditis is sudden cardiac death owing to electrical instability and arrhythmia. Typical presenting symptoms include chest pain, dyspnea, palpitations and/or heart failure. Diagnosis is usually made with history, electrocardiogram, biomarkers, echocardiogram, and cardiac MRI (CMR). Application of the Lake Louise criteria to CMR results can help identify cases of myocarditis. Treatment is usually supportive with medical therapy, and patients are recommended to abstain from exercise for 3 to 6 months. Exercise restrictions may be lifted after normalization on follow-up testing.

Original language	English (US)
Pages (from-to)	107-115
Number of pages	9
Journal	Cardiac Electrophysiology Clinics
Volume	16
Issue number	1
DOIs	https://doi.org/10.1016/j.ccep.2023.09.011
State	Published - Mar 1 2024

Keywords

Arrhythmia
Cardiac magnetic resonance imaging
Exercise
Mitochondria
Myocarditis
Return to play
Sex differences
Virus

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

Access to Document

10.1016/j.ccep.2023.09.011

Cite this

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abstract = "Myocarditis is an inflammatory disease of the myocardium secondary to infectious and noninfectious insults. The most feared consequence of myocarditis is sudden cardiac death owing to electrical instability and arrhythmia. Typical presenting symptoms include chest pain, dyspnea, palpitations and/or heart failure. Diagnosis is usually made with history, electrocardiogram, biomarkers, echocardiogram, and cardiac MRI (CMR). Application of the Lake Louise criteria to CMR results can help identify cases of myocarditis. Treatment is usually supportive with medical therapy, and patients are recommended to abstain from exercise for 3 to 6 months. Exercise restrictions may be lifted after normalization on follow-up testing.",

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T2 - When and How to Return to Sports

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AU - Cooper, Leslie T.

AU - Fairweather, De Lisa

AU - Di Florio, Damian N.

AU - Martinez, Matthew W.

PY - 2024/3/1

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N2 - Myocarditis is an inflammatory disease of the myocardium secondary to infectious and noninfectious insults. The most feared consequence of myocarditis is sudden cardiac death owing to electrical instability and arrhythmia. Typical presenting symptoms include chest pain, dyspnea, palpitations and/or heart failure. Diagnosis is usually made with history, electrocardiogram, biomarkers, echocardiogram, and cardiac MRI (CMR). Application of the Lake Louise criteria to CMR results can help identify cases of myocarditis. Treatment is usually supportive with medical therapy, and patients are recommended to abstain from exercise for 3 to 6 months. Exercise restrictions may be lifted after normalization on follow-up testing.

AB - Myocarditis is an inflammatory disease of the myocardium secondary to infectious and noninfectious insults. The most feared consequence of myocarditis is sudden cardiac death owing to electrical instability and arrhythmia. Typical presenting symptoms include chest pain, dyspnea, palpitations and/or heart failure. Diagnosis is usually made with history, electrocardiogram, biomarkers, echocardiogram, and cardiac MRI (CMR). Application of the Lake Louise criteria to CMR results can help identify cases of myocarditis. Treatment is usually supportive with medical therapy, and patients are recommended to abstain from exercise for 3 to 6 months. Exercise restrictions may be lifted after normalization on follow-up testing.

KW - Arrhythmia

KW - Cardiac magnetic resonance imaging

KW - Exercise

KW - Mitochondria

KW - Myocarditis

KW - Return to play

KW - Sex differences

KW - Virus

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Exercise After Acute Myocarditis: When and How to Return to Sports

Abstract

Keywords

ASJC Scopus subject areas

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