Annotation
Assessment of cardiovascular fitness for competitive sport in high risk groups
| The first 150 words of the full text of this article appear below. |
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Introduction |
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Regular exercise has been well established to be of physical
and psychological benefit to the growing child. Recently, the issue of
sudden death during sport has been brought to public attention after
the tragic deaths of a few high profile athletes. The need for
screening before participation has been queried and task forces have
been established to devise recommendations in this area. Physicians are
also being faced with a growing population of children and young adults
with complex congenital heart defects who are surviving thanks to
advances in medical and surgical treatment. An understanding of the
residual haemodynamic lesions in these children is essential in order
to make sensible recommendations for their ongoing participation in
sport. The role of the physician is to impose sensible restrictions
based on an assessment of the patient's potential risk of sudden death
and of deterioration of cardiac haemodynamics as a result of sport
while
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