Evidence map›Paper›PMID 40137092›Full record

ReviewJournal of cardiovascular development and disease2025

Brugada Syndrome and Exercise: Is It Time for a Paradigm Change?

Carolina Miguel Gonçalves, Adriana Vazão, Mariana Carvalho, Margarida Cabral, André Martins, Mónica Amado, Joana Pereira, Fátima Saraiva, Hélia Martins, Hélder Dores

Abstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Sports Cardiology in Practice: Exercise as Stressor, Signal, and Therapy.Journal of cardiovascular development and disease · 2026
    Article
  2. Article
  3. Review
  4. Brugada ECG Pattern in A Caucasian Patient with Severe Hypothyroidism.European journal of case reports in internal medicine · 2025
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Carolina Miguel GonçalvesUnidade Local de Saúde da Região de Leiria, E.P.E., 2410-197 Leiria, Portugal.ORCID 0000-0002-7378-0306
Adriana VazãoUnidade Local de Saúde da Região de Leiria, E.P.E., 2410-197 Leiria, Portugal.ORCID 0000-0001-9509-297X
Mariana CarvalhoUnidade Local de Saúde da Região de Leiria, E.P.E., 2410-197 Leiria, Portugal.ORCID 0000-0003-3132-1272
Margarida CabralUnidade Local de Saúde da Região de Leiria, E.P.E., 2410-197 Leiria, Portugal.ORCID 0000-0002-1149-016X
André MartinsUnidade Local de Saúde da Região de Leiria, E.P.E., 2410-197 Leiria, Portugal.ORCID 0009-0006-6151-3469
Mónica AmadoUnidade Local de Saúde da Região de Leiria, E.P.E., 2410-197 Leiria, Portugal.ORCID 0009-0009-0400-9778
Joana PereiraUnidade Local de Saúde da Região de Leiria, E.P.E., 2410-197 Leiria, Portugal.
Fátima SaraivaUnidade Local de Saúde da Região de Leiria, E.P.E., 2410-197 Leiria, Portugal.
Hélia MartinsUnidade Local de Saúde da Região de Leiria, E.P.E., 2410-197 Leiria, Portugal.ORCID 0000-0003-1881-0987
Hélder DoresPalliative Care Team, Internal Medicine, Emergency and Intensive Care Department, Hospital da Luz, 1500-650 Lisbon, Portugal.ORCID 0000-0002-4736-5221

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the multiple benefits of exercise for health, exercise in the presence of arrhythmic disorders can trigger adverse clinical events, including sudden cardiac death (SCD). The aim of this narrative review is to summarize the most recent recommendations regarding physical activity and exercise in individuals with Brugada Syndrome (BrS).

methodsAn advanced literature search was performed on the Pubmed and clinicaltrials.gov databases and published articles/clinical trials registered until September 2024 were analyzed. The final analysis included 33 articles.

resultsDespite initial reports suggesting a higher risk of SCD in BrS, the risk is not as high as expected, and there is no evidence that exercise is an independent predictor. Therefore, scientific recommendations have become less restrictive. However, consensus on risk scores is lacking, making the evaluation of BrS a real challenge. The most recent recommendations emphasize individual evaluation, risk stratification, shared decision-making, and general preventive measures, allowing asymptomatic BrS patients as well as genotype positive/phenotype negative patients to participate in competitive sports, excluding sports under extreme conditions. Regarding patients with an implantable cardioverter defibrillator, both leisure and competitive sports may be considered in asymptomatic patients, avoiding contact sports.

conclusionsResearch on the relationship between exercise and cardiovascular disease is evolving, but evidence-based recommendations for sports in BrS patients are scarce and further studies are needed.

Indexed as

athletesBrugada syndromeexerciseimplantable cardioverter defibrillatorsportssudden cardiac death

Identifiers

PMID40137092
PMCPMC11942943

What OpenQuestion holds

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Registered trials

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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.