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October 11, 2025European Heart Journal

Hypertrophic cardiomyopathy: changing the paradigm of exercise prescription and competitive sport participation

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Authors

MZMattia ZampieriSSSara SaberiFDFlavio D’Ascenzi

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Overview

Review highlights the safety of exercise and sports in low-risk HCM individuals, suggesting a need for updated guidelines.

Key Points

  • Exercise may improve functional capacity and quality of life in low-risk HCM patients, and this supports participation in competitive sports.
  • Observational studies and randomized trials suggest safety in exercise prescription for low-risk HCM individuals, with no strong signals of adverse events.
  • Emerging evidence calls for a paradigm shift in HCM management, endorsing individualized exercise recommendations and shared decision-making.
  • International acceptance is growing for competitive sports participation in low-risk HCM patients, despite varying local regulations.

Cite This Study

Zampieri et al. (2025) studied this question.

synapsesocial.com/papers/68e9b1b5ba7d64b6fc131fb4https://doi.org/10.1093/eurheartj/ehaf770
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