Document Detail

Infectious and lymphocytic myocarditis: epidemiology and factors relevant to sports medicine.
MedLine Citation:
PMID:  8581569     Owner:  NLM     Status:  MEDLINE    
Myocarditis is a disease entity of permanent actuality and of special concern in the sports setting. This is because the probability of complications or sequelae increases if exercise is imposed. Myocarditis may pass unrecognized by the sufferer or be easily overlooked by the physician, especially in athletes, where electrocardiographic changes often exist normally. Furthermore, although the immune system of the conditioned individual may be more efficient than that of the sedentary individual, very strenuous and frequently repeated or long-lasting exercise may cause immunosuppression and an increased susceptibility to respiratory tract infections (RTI). Several causative agents of RTI can give rise to myocarditis as well. The true incidence of proven infectious myocarditis in society is unknown. Histopathologically defined myocarditis (lymphocytic myocarditis), on the other hand, has been found in about 1% of unselected routine autopsies. In general, the long-term prognosis in myocarditis is favorable but exercise stress may cause long-term sequelae or sudden death. It is thus essential to refrain from strenuous exercise during RTI.
G Friman; L Wesslén; J Karjalainen; C Rolf
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Scandinavian journal of medicine & science in sports     Volume:  5     ISSN:  0905-7188     ISO Abbreviation:  Scand J Med Sci Sports     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1996-03-18     Completed Date:  1996-03-18     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9111504     Medline TA:  Scand J Med Sci Sports     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  269-78     Citation Subset:  IM    
Department of Infectious Diseases and Clinical Microbiology, Uppsala University Hospital, Sweden.
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MeSH Terms
Death, Sudden, Cardiac / etiology
Disease Susceptibility
Exercise* / physiology
Myocarditis / diagnosis,  epidemiology*,  virology
Respiratory Tract Diseases / complications
Sports* / physiology

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