Abstract
Engaging in physical exercise and sports is a common part of the daily life of young people and adults. For subjects and athletes with cardiovascular diseases it is fundamental to evaluate whether the clinical conditions are appropriate to come back to competition. Although the safest possible return-to-play must be determined by the physicians in charge, even the society, coaches, sponsors, or relatives could influence this crucial decision. Unfortunately, detailed guidelines regarding the correct approach for each specific pathology are lacking or heterogeneous. Thus, a general approach concerning when to restart physical activity after cardiovascular diseases is here provided, considering different general and individual issues. Furthermore, some of the most frequent cardiovascular diseases among young athletes were specifically analyzed, discussing a proper return-to-play. Although physical activity is useful in the prevention and treatment of different cardiovascular diseases, the return-to-play must be approached carefully and an adequate collaboration between physicians, athletes, and third parties must be guaranteed because safety comes first, and follow-up is needed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Recommended References
Creighton DW, Shrier I, Shultz R, Meeuwisse WH, Matheson GO (2010) Return-to-play in sport: a decision-based model. Clin J Sport Med 20(5):379–385
Maron BJ, Zipes DP, Kovacs RJ (2015) Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: preamble, principles, and general considerations: a scientific statement from the American Heart Association and American College of Cardiology. J Am Coll Cardiol 66(21):2343–2349
Silka MJ (2017) Return to play in the athlete with cardiac disease: who decides and what is the protocol? Cardiol Young 27(S1):S110–S114
Maron BJ, Zipes DP et al (2005) 36th Bethesda conference: eligibility recommendations for competitive athletes with cardiovascular abnormalities. JACC 45(8):1313–1315
Pelliccia A, Solberg EE, Papadakis M, Adami PE, Biffi A, Caselli S, Gerche AL, Niebauer J, Pressler A, Schmied CM, Serratosa L, Halle M, Van Buuren F, Borjesson M, Carre F, Panhuyzen-Goedkoop NM, Heidbuchel H, Olivotto I, Corrado D, Sinagra G, Sharma S (2019) Recommendations for participation in competitive and leisure time sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC). Eur Heart J 40:19–33
Ermolao A, Gasperetti A, Rigon A, Patti A, Battista F, Frigo AC, Duregon F, Zaccaria M, Bergamin M, Neunhaeuserer D (2019) Comparison of cardiovascular screening guidelines for middle-aged/older adults. Scand J Med Sci Sports. 6. [Epub ahead of print]
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 ESSKA
About this chapter
Cite this chapter
Vecchiato, M., Mazzucato, B., Padoan, L., Ermolao, A., Neunhäuserer, D. (2020). Strategies of Return-to-Play After Specific Cardiovascular Entities. In: Krutsch, W., Mayr, H.O., Musahl, V., Della Villa, F., Tscholl, P.M., Jones, H. (eds) Injury and Health Risk Management in Sports. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60752-7_41
Download citation
DOI: https://doi.org/10.1007/978-3-662-60752-7_41
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-60751-0
Online ISBN: 978-3-662-60752-7
eBook Packages: MedicineMedicine (R0)