In case of cardiovascular disease, which sport to do and at what intensity?

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The new guidelines for sports cardiology tell us”It is recognized that physical exercise, especially if regular, is beneficial in numerous cardiovascular diseases, as well as in diabetes, obesity and numerous other conditions. However, when the patient asks the cardiologist what physical exercise he can to carry out and in what ways, often the cardiologist does not offer direct or well-motivated answers.

  • “It is recognized that physical exercise, especially if regular, is beneficial in numerous cardiovascular diseases, as well as in diabetes, obesity and numerous other conditions. However, when the patient asks the cardiologist what physical exercise he can perform and in what ways, often the cardiologist does not offer direct or well-motivated answers.
  • The objective of these guidelines is precisely to fill the gaps in the knowledge of cardiologists and health professionals in general regarding the methods of evaluating patients suffering from a wide spectrum of cardiovascular diseases, how to approach the individual pathology and possibly which sport to recommend and with which mode “.

With these words, Dr Antonio Pelliccia, head of the Cardiology department of the Institute of Medicine and Sports Science of the Italian National Olympic Committee, Rome and president of the Task Force for guidelines, introduced the presentation of the guidelines dedicated to sports cardiology. in patients with cardiovascular diseases.

The 2005 guidelines on this issue mainly referred to the management of professional athletes, but given that cardiologists are now increasingly consulted by patients with cardiovascular diseases and advise them on sports and physical exercises, this new document will be useful to them as it analyzes the situation with a much broader view.

Who are the guidelines for sports cardiology for?

  1. These guidelines are formulated to help the cardiologist in the management of sports activities not only of the amateur or professional athlete, but also and above all of people at risk and the elderly;
  2. they also evaluate the effects and risks of physical activity and regular exercise in patients with overt heart disease and provide specific insights into physical exercise during pregnancy or in special contexts such as at high altitudes, in deep water, in polluted areas and at temperatures extreme.

Already analyzing only the theme of amateur or professional sport, the very definition of athlete is unclear, as, according to the ESC guidelines, such individuals can be defined as young or adult, amateurs or professionals, who carry out training on a regular basis and participate at official sporting events.

But athletes involved in sports competitions can have very different age

But athletes involved in sports competitions can have very different ageAs well as participate in sporting events ranging from the zonal competition to the Olympic Games. It is necessary to differentiate the amateur athlete, who competes for fun and pastime, from the professional, who is very interested in performance.

Moreover, the hours of weekly training are not directly related to the type of athlete, as, for example, long-distance cyclists and runners practice physical activity at higher volumes than some professional athletes who practice skill sports.