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Sports_LVNC_Overview.html
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Sports_LVNC_Overview.html
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<!DOCTYPE html>
<html lang="en">
<!-- defines the default zoom for mobile devices -->
<meta name="viewport" content="width=device-width, initial-scale=1" />
<head>
<meta charset="UTF-8">
<title>CardioRef: AHA/ACC 2015 Sports Participation Selector Guide: LV Non-Compaction</title>
<link rel="stylesheet" href="css/sports_answer_combined.css">
<script>
function goThere(){
var disease = document.getElementById("dz").value;
console.log(disease);
location.href= disease+'_Overview.html';
}
function getState() {
var disease = document.getElementById("dz").value;
var sport = document.getElementById("spt").value;
if(disease && sport) {
console.log(disease);
console.log(sport);
console.log(disease+sport);
combo=disease+sport;
location.href = combo+'.html';
}
}
</script>
<style>
div{
-webkit-margin-before:0;
-webkit-margin-after:0;
-webkit-margin-start:0;
-webkit-margin-end:0;
}
</style>
</head>
<body>
<div class="topbar">
<a href="index.html">Pedi CardioRef</a>
<div class="guidelinebar">
<a target="_blank" rel="noopener noreferrer" href="https://www.ahajournals.org/doi/10.1161/CIR.0000000000000239">
Reference: ACC/AHA Sports Participation Recommendations (Circulation 2015)
Task Force 3: Hypertrophic Cardiomyopathy, Arrhythmogenic RV Cardiomyopathy and other Cardiomyopathies, and Myocarditis (Circulation 2015)</a>
</div>
</div>
<section style="margin:10px">
<p class="topspace"></p>
<label><b>By the ACC/AHA 2015 guidelines, should my patient with</label>
<select name="disease" id="dz" class="InputBox" onChange="goThere();">
<option value="">*Select Disease*</option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="HCM">Hypertrophic Cardiomyopathy </option>
<option value="LVNC">Left Ventricular Non-Compaction </option>
<option value="DilRestr">Dilated or Restrictive Cardiomyopathy </option>
<option value="ARVC">Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) </option>
<option value="Myo">Myocarditis </option>
<option value="Peri">Pericarditis </option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="ASDVSDPDA">ASD, VSD, or PDA </option>
<option value="PS">Pulmonic Stenosis </option>
<option value="AS">Aortic Stenosis </option>
<option value="Coarct">Coarctation </option>
<option value="Cyan">Cyanotic Heart Disease, unrepaired or with palliative shunt </option>
<option value="TOF">Tetralogy of Fallot, s/p repair </option>
<option value="TGA_Must">d-TGA, s/p atrial switch (Mustard/Senning)</option>
<option value="TGA_Art">d-TGA, s/p arterial switch </option>
<option value="CCTGA">Congenitally-corrected TGA </option>
<option value="Fontan">Fontan </option>
<option value="Ebstein">Ebstein Anomaly </option>
<option value="AnomCoronary">Anomalous Coronary Artery Origin</option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="PVR">Elevated PVR in CHD </option>
<option value="VentricularDysfxn">Ventricular Dysfunction s/p CHD Surgery</option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="Valve_AS">Aortic Stenosis</option>
<option value="Valve_AR">Aortic Regurgitation </option>
<option value="Valve_MS">Mitral Stenosis</option>
<option value="Valve_MR">Mitral Regurgitation </option>
<option value="Valve_Hx">History of Mitral or Aortic Valve Surgery</option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="HTN">Hypertension </option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="AoDiseases_and_Marfan">Aortic Diseases and Marfan Syndrome</option>
<option value="BAV">Bicuspid Aortic Valve</option>
<option value="Marfan">Marfan Syndrome</option>
<option value="TAA">Thoracic Aortic Aneurysm, familial or unexplained</option>
<option value="LoeysDietz_EhlersDanlos">Loeys-Dietz or vascular Ehlers-Danlos</option>
<option value="AoEnlarge">Enlarged Aorta, non-syndrome non-familial</option>
<option value="Ao_Surgery">S/p Surgery for Aortic Enlargement/Dissection</option>
<option value="Chronic_AoDissection">Chronic Aortic Dissection or Branch Aneurysm</option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="CoronaryOverview">Coronary Artery Disease </option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="Syncope">Syncope </option>
<option value="Arrhythmia">Arrhythmias (SVT, PVC, Vtach, etc.) </option>
<option value="ConductionDefect">Conduction Defects (AV block, brady, pacemaker, RBBB/LBBB)</option>
<option value="Channelopathies">Channelopathies (LQTS, CPVT, Brugada, etc.) </option>
<option value="ICD">Implantable Cardioverter-Defibrillator (ICD) </option>
</select>
<span>participate in organized sports?</span></b>
<br><br>
<section id="question">
Should my patient with <b>Left Ventricular Non-Compaction</b> participate in competitive sports?
</section>
</section>
<br>
<section id="needtoknow">
<p class="sectiontitle">Need to know:</p>
<ul>
<li>LV systolic function</li>
<li>Ventricular tachyarrhythmias</li>
<li>Symptoms (e.g. unexplained syncope)</li>
</ul>
</section>
<section id="answer">
<section id="answer_arrow_section">
<section class="half_left_invisible">⬋</section>
<section class="half_right_invisible">⬊</section>
</section>
<section class="half_left">
<p class="sectiontitle">LV dysfunction, arrhythmias, or syncope</p>
<p>"Athletes with an unequivocal diagnosis of LVNC and impaired systolic function or important atrial or ventricular tachyarrhythmias
on ambulatory monitoring or exercise testing (or with a history of syncope) should not participate in competitive sports,
with the possible exception of low-intensity class 1A sports, at least until more clinical information is available."
</p>
<div class="verdict_ok"><b>Class IA sports: </b>Bowling, Cricket, Curling, Golf, Riflery, Yoga = <b>Likely Acceptable</b></div>
<!-- <hr> --><br>
<div class="verdict_no">Non-Class IA = Inadvisable</div>
<p class="rec_class">(Class III Recommendation; Level of Evidence C)</p>
</section>
<section class="half_right">
<p class="sectiontitle">Normal LV function, no arrhythmias, no syncope</p>
<p>
"Until more clinical information is available, participation in competitive sports may be considered for
asymptomatic patients with a diagnosis of LVNC and normal systolic function, without important ventricular tachyarrhythmias
on ambulatory monitoring or exercise testing, and specifically with no prior history of unexplained syncope."
</p>
<div class="verdict_maybe">Competitive Sports = Maybe (see conditions above)</div>
<p class="rec_class">(Class IIb Recommendation; Level of Evidence C)</p>
</section>
</section>
<hr style="width:50%"><br>
<p class="foot">
<b>Reference:</b> <a href="https://www.ahajournals.org/doi/full/10.1161/cir.0000000000000239"><i>Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 3: Hypertrophic Cardiomyopathy, Arrhythmogenic Right Ventricular Cardiomyopathy and Other Cardiomyopathies, and Myocarditis.
A Scientific Statement From the AHA and ACC.</i></a> <i>Circulation 2015</i>
<br><br><b>Disclaimer:</b> This website is derived from published guidelines, but does not constitute medical advice nor does it replace clinical judgement. Only the text in quotation marks are direct quotations from the original guidelines. Text not in quotations as well as the method of information display are all that of the website creator and are not part of the original published guidelines. Please consult a physician to discuss any patient-specific matters.
</p>
<section class="key">
<p><b>Key: </b>LV = left ventricle, LVNC = left ventricular non-compaction
</p>
</section>
<!-- <script src="leader-line.min.js"></script> -->
<script>
function goThere(){
var disease = document.getElementById("dz").value;
console.log(disease);
location.href= disease+'_Overview.html';
}
function getState() {
var disease = document.getElementById("dz").value;
var sport = document.getElementById("spt").value;
if(disease && sport) {
console.log(disease);
console.log(sport);
console.log(disease+sport);
combo=disease+sport;
location.href = combo+'.html';
}
}
</script>
</html>