-
Notifications
You must be signed in to change notification settings - Fork 0
/
Sports_Channel_IVT_Overview.html
226 lines (192 loc) · 10.3 KB
/
Sports_Channel_IVT_Overview.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
<!DOCTYPE html>
<html lang="en">
<!-- defines the default zoom for mobile devices -->
<meta name="viewport" content="width=device-width, initial-scale=1" />
<head>
<meta charset="UTF-8">
<title>CardioRef: AHA/ACC 2015 Sports Participation Selector Guide: Channelopathies: Idiopathic Ventricular Tachycardia</title>
<link rel="stylesheet" href="css/sports_answer_combined.css">
<style>
div{
-webkit-margin-before:0;
-webkit-margin-after:0;
-webkit-margin-start:0;
-webkit-margin-end:0;
}
</style>
</head>
<body>
<div class="topbar">
<a href="index.html">Pedi CardioRef</a>
<div class="guidelinebar">
<a target="_blank" rel="noopener noreferrer" href="https://www.ahajournals.org/doi/10.1161/CIR.0000000000000246">
Reference: ACC/AHA Sports Participation Recommendations (Circulation 2015) Task Force 10: The Cardiac Channelopathies</a>
</div>
</div>
<section style="margin:10px">
<p class="topspace"></p>
<label><b>By the ACC/AHA 2015 guidelines, should my patient with</label>
<select name="disease" id="dz" class="InputBox" onChange="goThere();">
<option value="">*Select Disease*</option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="HCM">Hypertrophic Cardiomyopathy </option>
<option value="LVNC">Left Ventricular Non-Compaction </option>
<option value="DilRestr">Dilated or Restrictive Cardiomyopathy </option>
<option value="ARVC">Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) </option>
<option value="Myo">Myocarditis </option>
<option value="Peri">Pericarditis </option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="ASDVSDPDA">ASD, VSD, or PDA </option>
<option value="PS">Pulmonic Stenosis </option>
<option value="AS">Aortic Stenosis </option>
<option value="Coarct">Coarctation </option>
<option value="Cyan">Cyanotic Heart Disease, unrepaired or with palliative shunt </option>
<option value="TOF">Tetralogy of Fallot, s/p repair </option>
<option value="TGA_Must">d-transposition (d-TGA), s/p atrial switch (Mustard/Senning)</option>
<option value="TGA_Art">d-transposition (d-TGA), s/p arterial switch </option>
<option value="CCTGA">Congenitally-corrected TGA (CC-TGA, L-TGA)</option>
<option value="Fontan">Fontan </option>
<option value="Ebstein">Ebstein Anomaly </option>
<option value="AnomCoronary">Anomalous Coronary Artery Origin</option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="PVR">Elevated PVR in CHD </option>
<option value="VentricularDysfxn">Ventricular Dysfunction s/p CHD Surgery</option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="Valve_AS">Aortic Stenosis</option>
<option value="Valve_AR">Aortic Regurgitation </option>
<option value="Valve_MS">Mitral Stenosis</option>
<option value="Valve_MR">Mitral Regurgitation </option>
<option value="Valve_Hx">History of Mitral or Aortic Valve Surgery</option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="HTN">Hypertension </option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="AoDiseases_and_Marfan">Aortic Diseases and Marfan Syndrome</option>
<option value="BAV">Bicuspid Aortic Valve</option>
<option value="Marfan">Marfan Syndrome</option>
<option value="TAA">Thoracic Aortic Aneurysm, familial or unexplained</option>
<option value="LoeysDietz_EhlersDanlos">Loeys-Dietz or vascular Ehlers-Danlos</option>
<option value="AoEnlarge">Enlarged Aorta, non-syndrome non-familial</option>
<option value="Ao_Surgery">S/p Surgery for Aortic Enlargement/Dissection</option>
<option value="Chronic_AoDissection">Chronic Aortic Dissection or Branch Aneurysm</option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="CoronaryOverview">Coronary Artery Disease </option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="Syncope">Syncope </option>
<option value="Arrhythmia">Arrhythmias (SVT, PVC, Vtach, etc.) </option>
<option value="ConductionDefect">Conduction Defects (AV block, brady, pacemaker, RBBB/LBBB)</option>
<option value="Channelopathies">Channelopathies (LQTS, CPVT, Brugada, etc.) </option>
<option value="ICD">Implantable Cardioverter-Defibrillator (ICD) </option>
</select>
<span>participate in organized sports?</span></b>
<br><br>
<section id="question">
Should my patient with <b>Idiopathic Ventricular Tachycardia</b> participate in organized sports?
</section>
</section>
<!-- End of 10px margin section. Consider changing template. -->
<br>
<!-- navigation bar for disease sub-categories -->
<nav>
<a href="Sports_Channel_LQTS_Overview.html">Long QT Syndrome (LQTS)</a>
<a href="Sports_Channel_SQTS_Overview.html">Short QT Syndrome (SQTS)</a>
<a href="Sports_Channel_CPVT_Overview.html">Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT)</a>
<a href="Sports_Channel_EarlyRepol_Overview.html">Early Repolarization</a>
<a href="Sports_Channel_BrS_Overview.html">Brugada Syndrome (BrS)</a>
<a href="Sports_Channel_IVT_Overview.html" class="active">Idiopathic Ventricular Tachycardia</a>
</nav>
<div class="largeanswerbox">
<h2 align=center>Idiopathic Ventricular Tachycardia</h2>
<hr>
<h3 align=center>General Recommendations:</h3>
<section class="single_center">
<p class="sectiontitle">All patients with suspected channelopathy</p>
<p>"For athletes with a suspected/diagnosed cardiac channelopathy, a comprehensive evaluation by a heart rhythm specialist
or genetic cardiologist with sufficient experience and expertise with these disorders is recommended."
</p>
<div class="verdict_maybe"><b>Get evaluated by heart rhythm specialist or genetic cardiologist</b>j</div>
<p class="rec_class">(Class I Recommendation; Level of Evidence C)</p>
</section>
<p></p>
<section class="single_center">
<p class="sectiontitle">Sympatomatic with suspected/diagnosed channelopathy</p>
<p>"It is recommended that symptomatic athletes with any suspected or diagnosed cardiac channelopathy
be restricted from all competitive sports until a comprehensive evaluation has been completed,
the athlete and his or her family are well informed, a treatment program has been implemented,
and the athlete has been asymptomatic on therapy for 3 months."
</p>
<div class="verdict_no">No sports until comprehensive evaluation completed</div>
<p class="rec_class">(Class I Recommendation; Level of Evidence C)</p>
</section>
<p>
<hr width="80%">
</p>
<h3 align=center>Idiopathic Ventricular Tachycardia Recommendations:</h3>
<section id="needtoknow">
<p class="sectiontitle">Need to know:</p>
<ul>
<li>Asymptomatic?</li>
</ul>
</section>
<section id="answer">
<section class="answer_arrow_section">
<section class="single_invisible">⇓ </section>
</section>
<section class="single_center">
<p class="sectiontitle">Asymptomatic, Genotype + / Phenotype -</p>
<p>"It is reasonable for an asymptomatic athlete with genotype-positive/phenotype-negative
(ie, concealed channelopathy) LQTS, CPVT, BrS, early repolarization syndrome,
<B>idiopathic ventricular fibrillation</B>, or short-QT syndrome to participate in all
competitive sports with appropriate precautionary measures, including
<ol>
<li>avoidance of QT-prolonging drugs for athletes with LQTS (http://www.crediblemeds.org),</li>
<li>avoidance of drugs that exacerbate the BrS in affected athletes (http://www.brugadadrugs.org),</li>
<li><b>electrolyte/hydration replenishment and avoidance of dehydration</b> for all, </li>
<li>avoidance or treatment of hyperthermia</b> from febrile illnesses or training-related heat exhaustion or heat stroke for athletes with either LQTS or BrS,</li>
<li><b>acquisition of a personal automatic external defibrillator</b> as part of the athlete’s personal sports safety gear, and</li>
<li><b>establishment of an emergency action plan</b> with the appropriate school or team officials."</li>
</ol> </p>
<div class="verdict_ok"><b>All sports = reasonable</b> if the above precautionary measures are undertaken</div>
<p class="rec_class">(Class IIa Recommendation; Level of Evidence C)</p>
</section>
</section>
</div>
<p class="foot">
<b>Reference:</b> <a href="https://www.ahajournals.org/doi/10.1161/CIR.0000000000000246"><i>Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 10: The Cardiac Channelopathies.</a>
A Scientific Statement From the AHA and ACC. Circulation 2015</i>
<br><br><b>Disclaimer:</b> This website is derived from published guidelines, but does not constitute medical advice
nor does it replace clinical judgement.
Only the text in quotation marks are direct quotations from the original guidelines.
Text not in quotations as well as the method of information display are all that of the
website creator and are not part of the original published guidelines.
Please consult a physician to discuss any patient-specific matters.
</p>
<section class="key">
<p><b>Key:</b> LQTS = long QT syndrome, SQTS = short QT syndrome, CPVT = Catecholaminergic polymorphic ventricular tachycardia, BrS = Brugada syndrome
</p>
</section>
<script>
function goThere(){
var disease = document.getElementById("dz").value;
location.href= disease+'_Overview.html';
}
function getState() {
var disease = document.getElementById("dz").value;
var sport = document.getElementById("spt").value;
if(disease && sport) {
console.log(disease);
console.log(sport);
console.log(disease+sport);
combo=disease+sport;
location.href = combo+'.html';
}
}
function toggle_table() {
var x = document.getElementById("elaboration");
if (x.style.display === "block") {
x.style.display = "none";
} else {
x.style.display = "block";
}
}
</script>
</html>