ArticleOpen heart
Exercise restrictions trigger psychological difficulty in active and athletic adults with hypertrophic cardiomyopathy.
Article in Open heart. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Systematic Review on the Safety of Physical Exercise in Hypertrophic Cardiomyopathy: Recommendations from the Brazilian Society of Cardiology.Arquivos brasileiros de cardiologia · 2026Guideline
- High intensity exercise programme in patients with hypertrophic cardiomyopathy: a randomized trial.European heart journal · 2025Trial
- Accelerometry-defined physical activity and quality of life in hypertrophic cardiomyopathy.Heart (British Cardiac Society) · 2026Article
- Exploring the Needs and Preferences of Athletes in Cardiac (Tele)Rehabilitation to Enhance Rehabilitation Outcome: A Qualitative Study.Patient preference and adherence · 2025Article
- Characterizing Decision-Making Surrounding Exercise in ARVC: Analysis of Decisional Conflict, Decisional Regret, and Shared Decision-Making.Circulation. Genomic and precision medicine · 2023Article
- Perceived self-efficacy and empowerment in patients at increased risk of sudden cardiac arrest.Frontiers in cardiovascular medicine · 2023Article
- Rediscovering the value of exercise in patients with hypertrophic cardiomyopathy.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2022Review
- Treatment Changes, Healthcare Resource Utilization, and Costs Among Patients with Symptomatic Obstructive Hypertrophic Cardiomyopathy: A Claims Database Study.Cardiology and therapy · 2022Article
- Psychological distress in response to physical activity restrictions in patients with non-syndromic thoracic aortic aneurysm/dissection.Journal of community genetics · 2021Article
- Hypertrophic Cardiomyopathy: Updates Through the Lens of Sports Cardiology.Current treatment options in cardiovascular medicine · 2021Review
- Patient experiences with hypertrophic cardiomyopathy: a conceptual model of symptoms and impacts on quality of life.Journal of patient-reported outcomes · 2020Article
- Psychological Issues in Managing Families with Inherited Cardiovascular Diseases.Cold Spring Harbor perspectives in medicine · 2020Review
- Exercise and hypertrophic cardiomyopathy: Two incompatible entities?Clinical cardiology · 2020Review
- [ICD and sport: a contradiction?]Herzschrittmachertherapie & Elektrophysiologie · 2019Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe examined the extent and nature of the psychological difficulty experienced by athletic adults with hypertrophic cardiomyopathy (HCM), correlates of that difficulty and coping mechanisms.
methodsA survey assessed athletic history and psychological impact of exercise restrictions. LASSO penalised linear regression identified factors associated with psychological difficulty. Semistructured interviews provided deeper insight into the nature and origins of psychological difficulty.
results54 individuals (33% female, mean age 55.9) completed the survey. The majority were recreational athletes at the time of restriction (67%). There was a drop in athleticism after diagnosis, including time spent exercising (p=0.04) and identification as an athlete (p=0.0005). Most respondents (54%) found it stressful and/or difficult to adjust to exercise restrictions. Greater psychological morbidity was associated with history of elite or competitive athletics, athletic identity and decrease in time spent exercising. 16 individuals (44% female, mean age 52.4) were interviewed. Long-term effects included weight gain and uncertainty about exercising safely. The role of exercise in interviewees' lives contracted significantly after restriction, from multiple functions (eg, social, stress relief, fitness) to solely health maintenance. Interviewees reported a unique form of social support: having family and friends participate with them in lower intensity exercise. Lack of understanding from family or friends and avoiding exercise completely were detrimental to coping.
conclusionsAthletic adults with HCM experience multifaceted, lasting difficulty adjusting to exercise recommendations. These data can guide clinicians in identifying patients at highest risk for distress and in helping to bolster coping and adaptation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.