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Myocarditis in athletes

2026-04-28Recensão Acesso aberto
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dc.contributor.authorDores, Hélder
dc.contributor.authorDinis, Paulo
dc.contributor.authorPuga, Luís
dc.contributor.authorFreitas, António
dc.contributor.authorCardim, Nuno
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - pólo NMS
dc.contributor.institutionLaboratório Associado de Translacção e Inovação para a Saúde Global - LA Real (Pólo NMS)
dc.contributor.pblSociedade Portuguesa de Cardiologia | Elsevier
dc.date.accessioned2026-05-28T15:26:01Z
dc.date.available2026-05-28T15:26:01Z
dc.date.issued2026-04-28
dc.descriptionCopyright © 2026 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.
dc.description.abstractMyocarditis is a condition characterized by heterogeneous etiologies, clinical manifestations, and natural history. Its diagnosis remains challenging and requires a multidisciplinary approach that integrates clinical evaluation, biomarkers, electrocardiography, echocardiography, and advanced imaging modalities. Cardiac magnetic resonance has emerged as the non-invasive gold-standard test, that together with endomyocardial biopsy, constitutes the foundation of the current diagnostic classification. Myocarditis is also a frequent acquired cause of sudden cardiac death in young individuals, including athletes. In this setting, the evaluation of return-to-play eligibility in athletes after acute myocarditis is complex and often limited by scarce evidence-based data. Accurate risk stratification, guided by a comprehensive multiparametric evaluation and a shared decision-making process that considers the potential risks of resuming competitive sport, is fundamental to ensuring athlete safety. This review aims to discuss the management of athletes with myocarditis and to address the challenges associated with return-to-play decisions.en
dc.description.versionproof
dc.description.versionepub_ahead_of_print
dc.format.extent875661
dc.identifier.doi10.1016/j.repc.2026.02.006
dc.identifier.issn0304-4750
dc.identifier.otherPURE: 163692137
dc.identifier.otherPURE UUID: d484698c-d176-4127-8240-eec1234ea65c
dc.identifier.otherPubMed: 42061508
dc.identifier.otherScopus: 105041016897
dc.identifier.urihttp://hdl.handle.net/10362/203554
dc.language.isoeng
dc.peerreviewedyes
dc.subjectMyocarditis
dc.subjectAthlete
dc.subjectSudden Cardiac Death
dc.subjectShared-Decision
dc.subjectReturn to Play
dc.titleMyocarditis in athletesen
dc.title.subtitleChallenges for return to playen
dc.typereview
degois.publication.titleRevista Portuguesa de Cardiologia
dspace.entity.typePublication
rcaap.rightsopenAccess

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