Sports and Exercise in Athletes with Hypertrophic Cardiomyopathy

Clin Sports Med. 2015 Jul;34(3):489-505. doi: 10.1016/j.csm.2015.03.005. Epub 2015 Apr 30.


Hypertrophic cardiomyopathy (HCM) is the most common genetic cardiovascular disease and one of the most common causes of sudden cardiac death (SCD). Current guidelines restrict the participation of patients with HCM in competitive sports, limiting the health benefits of exercise. However, many individuals with HCM have safely participated in sports, with a low incidence of SCD. Improved stratification of patients and desired activity may allow most individuals with HCM to engage in physical activity safely. Therefore, physicians should create an individualized approach in guiding each patient with HCM eager to enjoy the benefits of physical activity in a safe manner.

Keywords: Automated external defibrillator; Bethesda conference; Exercise; Exercise paradox; Hypertrophic cardiomyopathy; Sudden cardiac death.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cardiomyopathy, Hypertrophic / complications*
  • Cardiomyopathy, Hypertrophic / physiopathology*
  • Death, Sudden, Cardiac / etiology*
  • Death, Sudden, Cardiac / prevention & control
  • Exercise / physiology*
  • Humans
  • Practice Guidelines as Topic
  • Risk Assessment
  • Risk Factors
  • Sports / physiology*