News About Adult Congenital Heart Conditions And Sports – BerkelBike Best Handcycles
Monday, October 26th, 2009 Subscribe To Our Feed
Activity and sports
• Regular physical exercise has positive effects on most of the organs in the body
• Physical activity improves your mental well being
• Even though you may have restrictions based on your heart condition but they should not stop you from being as active as you can be.
The heart and sports
• Regular moderate activity (not maximum performance) is the key to being active in a healthy way
• Regular activity means three times a week for thirty minutes
• Moderate activity means that you should feel warm but not uncomfortable.
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Is it possible that I die if I do sports?
• Only a very small number of deaths from heart problems in young people is caused by physical exercise.
• Even less deaths are caused by playing sports.
How much can I handle?
• How much you should do depends on your heart condition and how your own heart can perform when you exercise.
• Most patients can exercise more than they think.
• Some patients have to accept restrictions.
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Some things they told you when you were a child might be changed now; like:
• You may have been told that exercising is dangerous
• The doctor may have told you not to participate in any sports
• Your family or school may have not allowed you to participate in sports or physical activity.
Which problems need to be prevented?
• When you have a weak heart, prevent problems with your heart rhythm
• Lack of fluid consumption when you are sweating
• A huge fluctuation in your blood pressure
• When you are on a blood thinner, prevent bruising yourself
• Prevent bone injuries
How doctors decide whether you need restrictions.
• Is based on the type of sport or activity you want to participate in.
• The difficulty of the activity or exercise.
• How high it can make your heart rate go.
• How your heart might respond to the exercise or sport.
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The guide for getting active
• You know your body best, so you are the best judge of what you can do
• If you can’t talk and breath during your activity. slow down!
• Your physician can order an exercise test before becoming active and give you a “target heart rate”
• The physician can guide your activity instructor based on your history
Examples of Activities
Activities providing high energy.
• Running
• Cycling
• Swimming
• Boxing
• Tennis
• Volleyball
• Snow Skiing
Low energy activity
• walking
• hiking
• curling
• gymnastics
• diving
• golf
• horseback riding
Burning Calories
• Quiet walk 200 kcal/h (in a 70 kg male)
• Hiking 300 kcal/h (in a 70 kg male)
• Fast walking 350 kcal/h (in a 70 kg male)
• Swimming 500 kcal/h (in a 70 kg male)
• Walking up hill 500 kcal/h (in a 70 kg male)
• Tennis 600 kcal/h (in a 70 kg male)
• Jogging 700 kcal/h (in a 70 kg male)
Any restrictions?
No restrictions with
• Small Ventricular Septal Defect (VSD)
• Mild Pulmonary Stenosis
• Repaired VSD or ASD
• Small Atrial Septal Defect (ASD)
• Prosthetic Valve with normal pump function
• Repaired Tetralogy of Fallot (usually)
• Mitral Valve Prolapse without arrhythmia
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Competitive activity
• People with a heart condition usually should not engage in competitions.
• There may be some exceptions in very mild and uncomplicated cases.
• This will have to be discussed with your heart specialist.
Restrictions to mild intensity sports (or no sports at all)
• Weak pumping chambers (ventricle)
• Importantly narrowed valves
• Severe pulmonary hypertension
• Some “Mustard” or “Fontan” patients
• Most cyanotic patients (blue)
Avoid body impact by
• Patients on coumadin (warfarin)
• Marfan syndrome
• Others with ascending aortic aneurysms
Concluding
• Death in sports due to heart conditions are rare
• Activity related cardiac deaths in congenital patients who are trained in a specialized clinic are very rare
• Your doctor can guide your activity level and set your level of restriction.
• Activity is good for your mental and physical well being.
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