Myocarditis and sports in the young: data from a nationwide registry on myocarditis—“MYKKE-Sport”
BackgroundMyocarditis represents one of the most common causes of Sudden Cardiac Death in children. Myocardial involvement during a viral infection is believed to be higher as a consequence of intensive exertion. Recommendations for return to sports are based on cohort and case studies only. This st...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Sports and Active Living |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fspor.2023.1197640/full |
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| author | Isabelle Schöffl Isabelle Schöffl Sophia Holler Sven Dittrich Thomas Pickardt Bernd Opgen-Rhein Martin Boehne Bardo Wannenmacher Katja Reineke Gesa Wiegand Tobias Hecht Michael Kaestner Daniel Messroghli Daniel Messroghli Daniel Messroghli Stephan Schubert Stephan Schubert Stephan Schubert Franziska Seidel Franziska Seidel Franziska Seidel Franziska Seidel Franziska Seidel Annika Weigelt |
| author_facet | Isabelle Schöffl Isabelle Schöffl Sophia Holler Sven Dittrich Thomas Pickardt Bernd Opgen-Rhein Martin Boehne Bardo Wannenmacher Katja Reineke Gesa Wiegand Tobias Hecht Michael Kaestner Daniel Messroghli Daniel Messroghli Daniel Messroghli Stephan Schubert Stephan Schubert Stephan Schubert Franziska Seidel Franziska Seidel Franziska Seidel Franziska Seidel Franziska Seidel Annika Weigelt |
| author_sort | Isabelle Schöffl |
| collection | DOAJ |
| description | BackgroundMyocarditis represents one of the most common causes of Sudden Cardiac Death in children. Myocardial involvement during a viral infection is believed to be higher as a consequence of intensive exertion. Recommendations for return to sports are based on cohort and case studies only. This study aims to investigate the relationship between physical activity and myocarditis in the young.PatientEvery patient in the MYKKE registry fulfilling criteria for suspicion of myocarditis was sent a questionnaire regarding the physical activity before, during and after the onset of myocarditis.MethodThis study is a subproject within the MYKKE registry, a multicenter registry for children and adolescents with suspected myocarditis. The observation period for this analysis was 93 months (September 2013–June 2021). Anamnestic, cardiac magnetic resonance images, echocardiography, biopsy and laboratory records from every patient were retrieved from the MYKKE registry database.Results58 patients (mean age 14.6 years) were enrolled from 10 centers. Most patients participated in curricular physical activity and 36% in competitive sports before the onset of myocarditis. There was no significant difference of heart function at admission between the physically active and inactive subjects (ejection fraction of 51.8 ± 8.6% for the active group vs. 54.4 ± 7.7% for the inactive group). The recommendations regarding the return to sports varied widely and followed current guidelines in 45%. Most patients did not receive an exercise test before returning to sports.ConclusionSports before the onset of myocarditis was not associated with a more severe outcome. There is still a discrepancy between current literature and actual recommendations given by health care providers. The fact that most participants did not receive an exercise test before being cleared for sports represents a serious omission. |
| first_indexed | 2024-03-13T03:11:15Z |
| format | Article |
| id | doaj.art-c871ab087c714348924326a2822f080f |
| institution | Directory Open Access Journal |
| issn | 2624-9367 |
| language | English |
| last_indexed | 2024-03-13T03:11:15Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Sports and Active Living |
| spelling | doaj.art-c871ab087c714348924326a2822f080f2023-06-26T12:09:55ZengFrontiers Media S.A.Frontiers in Sports and Active Living2624-93672023-06-01510.3389/fspor.2023.11976401197640Myocarditis and sports in the young: data from a nationwide registry on myocarditis—“MYKKE-Sport”Isabelle Schöffl0Isabelle Schöffl1Sophia Holler2Sven Dittrich3Thomas Pickardt4Bernd Opgen-Rhein5Martin Boehne6Bardo Wannenmacher7Katja Reineke8Gesa Wiegand9Tobias Hecht10Michael Kaestner11Daniel Messroghli12Daniel Messroghli13Daniel Messroghli14Stephan Schubert15Stephan Schubert16Stephan Schubert17Franziska Seidel18Franziska Seidel19Franziska Seidel20Franziska Seidel21Franziska Seidel22Annika Weigelt23Department of Pediatric Cardiology, Friedrich-Alexander-Universität, Erlangen-Nürnberg, GermanySchool of Clinical and Applied Sciences, Leeds Beckett University, Leeds, Great BritainDepartment of Pediatric Cardiology, Friedrich-Alexander-Universität, Erlangen-Nürnberg, GermanyDepartment of Pediatric Cardiology, Friedrich-Alexander-Universität, Erlangen-Nürnberg, GermanyCompetence Network for Congenital Heart Defects, Berlin, GermanyDepartment of Pediatric Cardiology, Charité-Universitätsmedizin Berlin, Berlin, GermanyDepartment of Paediatric Cardiology and Intensive Care Medicine, Hannover Medical School, Hannover, GermanyClinic for Paediatric Cardiology, Heart Centre, University of Leipzig, Leipzig, GermanyDepartment for Paediatric Cardiology, University Heart Center Freiburg, Freiburg, GermanyDepartment for Paediatric Cardiology, University Hospital Tübingen, Tübingen, GermanyHeart- and Diabetes Center North Rhine-Westphalia, Center of Pediatric Cardiology and Congenital Heart Disease, Ruhr University Bochum, Bad Oeynhausen, Germany0Pediatric Cardiology, University Hospital Ulm, Ulm, Germany1Department of Cardiology, German Heart Center Berlin, Berlin, Germany2Department of Cardiology, Charité-Universitätsmedizin, Berlin, Germany3German Centre for Cardiovascular Research, Berlin, GermanyHeart- and Diabetes Center North Rhine-Westphalia, Center of Pediatric Cardiology and Congenital Heart Disease, Ruhr University Bochum, Bad Oeynhausen, Germany3German Centre for Cardiovascular Research, Berlin, Germany4Department of Congenital Heart Disease and Pediatric Cardiology, German Heart Center Berlin, Berlin, GermanyDepartment of Pediatric Cardiology, Charité-Universitätsmedizin Berlin, Berlin, Germany3German Centre for Cardiovascular Research, Berlin, Germany4Department of Congenital Heart Disease and Pediatric Cardiology, German Heart Center Berlin, Berlin, Germany5Institute for Imaging Science and Computational Modelling in Cardiovascular Medicine,Charité-Universitätsmedizin Berlin, Berlin, Germany6Experimental and Clinical Research Center, A Cooperation Between the Max-Delbrück-Center for Molecular Medicine in the Helmholtz Association and the Charité-Universitätsmedizin Berlin, Berlin, GermanyDepartment of Pediatric Cardiology, Friedrich-Alexander-Universität, Erlangen-Nürnberg, GermanyBackgroundMyocarditis represents one of the most common causes of Sudden Cardiac Death in children. Myocardial involvement during a viral infection is believed to be higher as a consequence of intensive exertion. Recommendations for return to sports are based on cohort and case studies only. This study aims to investigate the relationship between physical activity and myocarditis in the young.PatientEvery patient in the MYKKE registry fulfilling criteria for suspicion of myocarditis was sent a questionnaire regarding the physical activity before, during and after the onset of myocarditis.MethodThis study is a subproject within the MYKKE registry, a multicenter registry for children and adolescents with suspected myocarditis. The observation period for this analysis was 93 months (September 2013–June 2021). Anamnestic, cardiac magnetic resonance images, echocardiography, biopsy and laboratory records from every patient were retrieved from the MYKKE registry database.Results58 patients (mean age 14.6 years) were enrolled from 10 centers. Most patients participated in curricular physical activity and 36% in competitive sports before the onset of myocarditis. There was no significant difference of heart function at admission between the physically active and inactive subjects (ejection fraction of 51.8 ± 8.6% for the active group vs. 54.4 ± 7.7% for the inactive group). The recommendations regarding the return to sports varied widely and followed current guidelines in 45%. Most patients did not receive an exercise test before returning to sports.ConclusionSports before the onset of myocarditis was not associated with a more severe outcome. There is still a discrepancy between current literature and actual recommendations given by health care providers. The fact that most participants did not receive an exercise test before being cleared for sports represents a serious omission.https://www.frontiersin.org/articles/10.3389/fspor.2023.1197640/fullheart muscle infectionreturn to sportscardiomyopathysudden cardiac deathprevention |
| spellingShingle | Isabelle Schöffl Isabelle Schöffl Sophia Holler Sven Dittrich Thomas Pickardt Bernd Opgen-Rhein Martin Boehne Bardo Wannenmacher Katja Reineke Gesa Wiegand Tobias Hecht Michael Kaestner Daniel Messroghli Daniel Messroghli Daniel Messroghli Stephan Schubert Stephan Schubert Stephan Schubert Franziska Seidel Franziska Seidel Franziska Seidel Franziska Seidel Franziska Seidel Annika Weigelt Myocarditis and sports in the young: data from a nationwide registry on myocarditis—“MYKKE-Sport” Frontiers in Sports and Active Living heart muscle infection return to sports cardiomyopathy sudden cardiac death prevention |
| title | Myocarditis and sports in the young: data from a nationwide registry on myocarditis—“MYKKE-Sport” |
| title_full | Myocarditis and sports in the young: data from a nationwide registry on myocarditis—“MYKKE-Sport” |
| title_fullStr | Myocarditis and sports in the young: data from a nationwide registry on myocarditis—“MYKKE-Sport” |
| title_full_unstemmed | Myocarditis and sports in the young: data from a nationwide registry on myocarditis—“MYKKE-Sport” |
| title_short | Myocarditis and sports in the young: data from a nationwide registry on myocarditis—“MYKKE-Sport” |
| title_sort | myocarditis and sports in the young data from a nationwide registry on myocarditis mykke sport |
| topic | heart muscle infection return to sports cardiomyopathy sudden cardiac death prevention |
| url | https://www.frontiersin.org/articles/10.3389/fspor.2023.1197640/full |
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