Page 14 - Heart Failure Guidelines
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Pediatric Heart Failure Guidelines


               Heart Failure/Cardiomyopathy Exercise Restrictions
               Diagnosis           Disease State                    Exercise Restrictions

               HCM                 Genotype (+), phenotype (-)      No restrictions

                                   Evidence of disease +/-          Restricted to 1A* sports
                                   arrhythmias
               LVNC                Asymptomatic non-                No restrictions
                                   compaction

                                   Impaired                         Restricted to 1A sports
                                   function/tachyarrhythmias
               DCM                 Asymptomatic                     No restriction after CPET

                                   Symptomatic                      Restricted to 1A sports
                                   dilation/dysfunction

               RCM/Infiltrative  Symptomatic                        Restricted to 1A sports
               CMP

               Myocarditis         <6 months from                   Restricted from all sports
                                   presentation

                                   >6 months w/ residual            Restricted from all sports
                                   arrhythmias, dysfunction,
                                   inflammation

                                   >6 months w/ full                No restrictions
                                   normalization
               ARVC                Possible or definitive           Restricted to 1A sports
                                   diagnosis

               Fontan              Normal hemodynamics/No           Individualize #
               Physiology          HF

                                   Concomitant HF                   Individualize #

               * 1A sports correlate to low intensity sports (i.e. Golf, Bowling, Yoga, Cricket,
               Curling)
               # Fontan exercise restrictions should be individualized up to limiting dynamic
               component
               The summary of their recommendations are outlined in the relevant sections below.


               All patients undergo an exercise test (Cardio Pulmonary Exercise Test - CPET) prior to
               involvement in exercise training and/or competitive sports to assess blood pressure response,
               assess risk for adverse events and determine suitability for exercise training.




               Updated 4/22/2019                                                                      page 14
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