Task Force 2: Congenital heart disease

Patients with isolated small- to medium-sized aneurysms in one or more coronary arteries and judged to be at low risk for ischemic complications (normal left ventricular function, absence of exercise-induced ischemia or arrhythmia) may participate in low to moderate static and dynamic competitive sp...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2005-04, Vol.45 (8), p.1326-1333
Main Authors: Graham, Thomas P., Driscoll, David J., Gersony, Welton M., Newburger, Jane W., Rocchini, Albert, Towbin, Jeffrey A.
Format: Article
Language:English
Subjects:
Aortic Valve Stenosis
Athletes
Biological and medical sciences
Cardiology
Cardiology. Vascular system
Cardiovascular disease
Coronary Vessel Anomalies
Coronary vessels
Defects
Ductus Arteriosus, Patent
Expert witness testimony
Fontan Procedure
Health Planning Guidelines
Heart
Heart attacks
Heart Defects, Congenital
Heart Septal Defects, Atrial
Heart Septal Defects, Ventricular
Heart surgery
Humans
Intubation
Ischemia
Medical sciences
Participation
Patients
Postoperative Complications
Pulmonary arteries
Pulmonary hypertension
Pulmonary Valve Stenosis
Sports
Task forces
Tetralogy of Fallot - surgery
Transposition of Great Vessels - surgery
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Summary:Patients with isolated small- to medium-sized aneurysms in one or more coronary arteries and judged to be at low risk for ischemic complications (normal left ventricular function, absence of exercise-induced ischemia or arrhythmia) may participate in low to moderate static and dynamic competitive sports (classes IA, IB, IIA, and IIB). Peak-to-Peak Systolic Gradient (Catherization) Mean Echo Doppler Gradient (CW) Peak Instantaneous Echo Doppler Gradient (CW)* Mild AS less than 30 mm Hg less than 25 mm Hg less than 40 mm Hg Moderate AS 30 to 50 mm Hg 25 to 40 mm Hg 40 to 70 mm Hg Severe AS greater than 50 mm Hg greater than 40 mm Hg greater than 70 mm Hg Table 1 Definitions of Mild, Moderate, and Severe Aortic Stenosis Name Research Grant Expert Witness Testimony Dr. David Driscoll None None Dr. Welton M. Gersony None None Dr. Thomas P. Graham None None Dr. Jane W. Newburger *Pfizer None *Philips None Dr. Albert Rocchini None None Dr. Jeffrey Towbin None None *2005, Defense, Myocarditis, sudden death in child *2004, Defense, Myocarditis, sudden death in child *2004, Defense, Myocarditis, sudden death in child *2002, Defense, Myocarditis, sudden death in child *2000, Defense, Myocarditis, sudden death in child *1996, Plaintiff, Myocarditis, sudden death in professional athlete *1995, Plaintiff, Myocarditis, sudden death in professional athlete Table 1 Definitions of Mild, Moderate, and Severe Aortic Stenosis Author Relationships With Industry and Others
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2005.02.009