Clinical investigationExercise in coxsackie B3 myocarditis: Effects on heart lymphocyte subpopulations and the inflammatory reaction☆
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Sport and exercise during viral acute respiratory illness—Time to revisit
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2021, Revista Espanola de CardiologiaApplication of Multiparametric Quantitative Cardiac Magnetic Resonance for Detection and Monitoring of Myocardial Injury in Patients with Fulminant Myocarditis
2021, Academic RadiologyCitation Excerpt :Active inflammatory edema is mainly observed in the acute stage and usually resolves quickly during the healing process of myocarditis. Accurate detection and monitoring of the inflammatory myocardial alterations is essential for clinical decision-making (9,10). Endomyocardial biopsy (EMB) can directly assess myocarditis injury, but was rarely performed due to its invasive nature and possible sampling errors (11).
Awareness and education about cardiovascular events and sport are essential: Results of a French multicenter survey
2018, Science and SportsCitation Excerpt :Indeed, the rate of myocardial affection could range from 5 to 10% during a benign viral infection. It is thought that exercise during the early phase of viral myocarditis is associated with an increased viral replication rate within myocardial cells, resulting in increased cytolysis and tissue damage [35,36]. For these reasons, during a viral infection with fever but without any evident myocardial affection, we recommend not practicing sport while the fever persists and for the next 8 days.
Diagnosis and treatment strategies for children with myocarditis
2016, Progress in Pediatric CardiologyCitation Excerpt :Exercise itself may aggravate the disease. In experimental models, mice infected with Coxsackie B virus that underwent forced exercise during the acute phase of infection developed more necrotic and inflammatory myocardial lesions, had greater viral replication, and increased lethality compared to infected mice that did not undergo forced exercise [3,4]. The Bethesda Conference and the European Society of Cardiology recommend that athletes should be removed from competitive sports for at least six months after onset of clinical symptoms [5,6].
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Supported by grants from the Swedish National Administration Against Heart and Chest Disease, the Swedish National Environment Protection Board and Idrottens Forskningsrád.