The safety of sports in children with inherited arrhythmia substrates

Frontiers in Pediatrics

Pediatrics

Abhay Katyal¹  Christopher O. Y. Li¹  Sonia Franciosi¹  Shubhayan Sanatani² 

[1] British Columbia Children’s Hospital Heart Center, Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada;Correspondence:;

关键词: sports;    exercise;    physical activity;    sudden cardiac death;    channelopathy;    cardiomyopathy;    implantable cardioverter-defibrillator;    pediatrics;   

DOI  :  10.3389/fped.2023.1151286

 received in 2023-01-25, accepted in 2023-03-22,  发布年份 2023

来源: Frontiers

【 摘 要 】

Sudden cardiac death (SCD) is a rare and devastating event in children and remains a leading cause of death in young athletes. Channelopathies and cardiomyopathies, in particular long QT syndrome (LQTS), catecholaminergic polymorphic ventricular tachycardia (CPVT), hypertrophic cardiomyopathy (HCM), and arrhythmogenic cardiomyopathy (ACM) are associated with exercise-related SCD. Implantable cardioverter-defibrillators (ICDs) are often placed for secondary prevention for athletes with cardiomyopathy or channelopathy. There remains concern regarding the safety of return to participation with an ICD in place. Guidelines have historically recommended that patients with inherited heart rhythm disorders be restricted from competitive sports participation. Increasing evidence suggests a lower risk of exercise-related cardiac events in young athletes with inherited heart rhythm disorders. In this review, we highlight current knowledge, evolving guidelines, and present a multidisciplinary approach involving shared decision-making and appropriate planning for safe sports participation of children with inherited heart rhythm disorders.

【 授权许可】

Unknown   
© 2023 Katyal, Li, Franciosi and Sanatani.