{"id":8324,"date":"2019-03-08T18:28:06","date_gmt":"2019-03-08T17:28:06","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=8324"},"modified":"2019-03-08T18:47:24","modified_gmt":"2019-03-08T17:47:24","slug":"updated-guidelines-for-sports-and-exercise-cardiology-the-brazil-society-of-cardiology-and-brazilian-society-of-exercise-and-sports-medicine","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2019\/03\/08\/updated-guidelines-for-sports-and-exercise-cardiology-the-brazil-society-of-cardiology-and-brazilian-society-of-exercise-and-sports-medicine\/","title":{"rendered":"Updated guidelines for sports and exercise cardiology &#8211; The Brazil Society of Cardiology and Brazilian Society of Exercise and Sports Medicine"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>In 2013 The Brazilian Society of Cardiology and Brazilian Society of Exercise and Sports Medicine published <em>The Brazilian Guidelines for Sports and Exercise Cardiology.<sup>1 <\/sup><\/em>This year, these same societies updated the guidelines in keeping with the latest evidence in the field. You can view the update here: <em><a href=\"http:\/\/publicacoes.cardiol.br\/portal\/abc\/ingles\/2019\/v11203\/pdf\/i11203024.pdf\">The Updated Guidelines for Sports and Exercise Cardiology 2019<\/a>.<\/em><sup>2<\/sup><\/p>\n<p>This guideline serves as a <em>de facto<\/em> update for the field. Recommendation grade and evidence level in different athletic scenarios were established and more than 320 references reviewed.<\/p>\n<p><strong>What\u2019s new?<\/strong><\/p>\n<p>The 2019 update addresses pre-participation screening, structural and non-structural heart diseases, genetic aspects of these pathologies, valvular disease, the hearts of female athletes, special aspects in preventing exercise\/sports-related sudden death (including illicit substances in sports), as well as basic life support for athletes with a cardiac emergency.<\/p>\n<p><strong>What is recommended? <\/strong><\/p>\n<p>The Brazilian Society of Cardiology and the Brazilian Society of Exercise and Sports Medicine recommend pre-participation screening (PPS) with 12-lead electrocardiogram for all professional athletes. PPS can also be recommended to correctly prescribe moderate-to-high intensity exercise for non-professionals. This aligns with many international societies and incorporating a resting ECG to history and a physical exam in young athletes is considered Recommendation Grade I, Evidence Level A.<\/p>\n<p>The guidelines also cover topics related to genetics and exercise. Specifically, different structural and non structural diseases and their relation to sports and exercise. The authors provide the latest evidence to answer if positive-genotype and negative-phenotype athletes are at higher risk of sudden death (SD) even without signs of structural heart disease. Why is this important? In certain cases, the adrenergic stress of intense or competitive exercise can trigger complications and SD.<\/p>\n<p>In the final chapters of the guideline, the authors discuss the athlete with valvular heart disease, athlete&#8217;s heart syndrome in female athletes, and basic life support for the athlete.<\/p>\n<p><strong>The\u00a0updated guideline is now available online, and in English too<\/strong><\/p>\n<p>Our colleagues around the world can freely access the British Journal of Sports Medicine (BJSM) Blog to view the guideline in English.<\/p>\n<p>We hope <a href=\"http:\/\/publicacoes.cardiol.br\/portal\/abc\/ingles\/2019\/v11203\/pdf\/i11203024.pdf\">these guidelines<\/a> are useful to sports medicine and cardiology clinicians, and their daily practice!<\/p>\n<p>On behalf of the Editors,<\/p>\n<p>Ricardo Stein MD; ScD.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8326\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/03\/Screen-Shot-2019-03-08-at-9.30.12-AM.png\" alt=\"\" width=\"188\" height=\"173\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/03\/Screen-Shot-2019-03-08-at-9.30.12-AM.png 398w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/03\/Screen-Shot-2019-03-08-at-9.30.12-AM-300x276.png 300w\" sizes=\"auto, (max-width: 188px) 100vw, 188px\" \/><\/p>\n<p>***<\/p>\n<p><em><strong>References:<\/strong><\/em><\/p>\n<ol>\n<li>Ghorayeb N., Costa R.V.C., Daher D.J., Oliveira Filho J.A., Oliveira M.A.B. et al. The Brazilian Society of Cardiology and Brazilian Society of Exercise and Sports Medicine\u2019s Guidelines for Sports and Exercise Cardiology. Arq Bras Cardiol. 2013;100(1Supl.2):1-41<\/li>\n<li>Ghorayeb N*, Stein R*, Daher DJ, Silveira AD, Ritt LEF, Santos, DFP et al. <a href=\"http:\/\/publicacoes.cardiol.br\/portal\/abc\/ingles\/2019\/v11203\/pdf\/i11203024.pdf\">The Brazilian Society of Cardiology and Brazilian Society of Exercise and Sports Medicine\u2019s Updated Guidelines for Sports and Exercise Cardiology &#8211; 2019<\/a>. Arq Bras Cardiol. 2019; 112(3):326-368.<\/li>\n<\/ol>\n<p>* First authors<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; In 2013 The Brazilian Society of Cardiology and Brazilian Society of Exercise and Sports Medicine published The Brazilian Guidelines for Sports and Exercise Cardiology.1 This year, these same societies updated the guidelines in keeping with the latest evidence in the field. You can view the update here: The Updated Guidelines for Sports and Exercise [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2019\/03\/08\/updated-guidelines-for-sports-and-exercise-cardiology-the-brazil-society-of-cardiology-and-brazilian-society-of-exercise-and-sports-medicine\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":8326,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[16068,1131,8276],"class_list":["post-8324","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-featured","tag-guidelines","tag-sports-cardiology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Updated guidelines for sports and exercise cardiology - The Brazil Society of Cardiology and Brazilian Society of Exercise and Sports Medicine - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2019\/03\/08\/updated-guidelines-for-sports-and-exercise-cardiology-the-brazil-society-of-cardiology-and-brazilian-society-of-exercise-and-sports-medicine\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Updated guidelines for sports and exercise cardiology - The Brazil Society of Cardiology and Brazilian Society of Exercise and Sports Medicine - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"&nbsp; In 2013 The Brazilian Society of Cardiology and Brazilian Society of Exercise and Sports Medicine published The Brazilian Guidelines for Sports and Exercise Cardiology.1 This year, these same societies updated the guidelines in keeping with the latest evidence in the field. You can view the update here: The Updated Guidelines for Sports and Exercise [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bjsm\/2019\/03\/08\/updated-guidelines-for-sports-and-exercise-cardiology-the-brazil-society-of-cardiology-and-brazilian-society-of-exercise-and-sports-medicine\/\" \/>\n<meta property=\"og:site_name\" content=\"BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"article:published_time\" content=\"2019-03-08T17:28:06+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-03-08T17:47:24+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/03\/Screen-Shot-2019-03-08-at-9.30.12-AM.png\" \/>\n\t<meta property=\"og:image:width\" content=\"398\" \/>\n\t<meta property=\"og:image:height\" content=\"366\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2019\\\/03\\\/08\\\/updated-guidelines-for-sports-and-exercise-cardiology-the-brazil-society-of-cardiology-and-brazilian-society-of-exercise-and-sports-medicine\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2019\\\/03\\\/08\\\/updated-guidelines-for-sports-and-exercise-cardiology-the-brazil-society-of-cardiology-and-brazilian-society-of-exercise-and-sports-medicine\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Updated guidelines for sports and exercise cardiology &#8211; 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