Key result
Self-reported adherence to sports recommendations was significantly lower in competitive athletes (73%) compared with recreational athletes (92%, p<0.001) with myocarditis.
Why the study?
Guidelines recommend refraining from moderate- to high-intensity sports for 3-6 months after acute myocarditis, but clinical implementation and patient adherence remain unclear.
Cohort (n=165)
Despite clinical guidelines, only half of patients with myocarditis receive sports counselling, with significant disparities showing women receive fewer recommendations and competitive athletes exhibit lower adherence.
Suboptimal myocarditis counselling rates and disparities merit clinician attention; observational data leaves open effects on adherence and outcomes.
Aim: In the clinical setting of acute myocarditis, existing guidelines recommend refraining from moderate-intensity to high-intensity sports for 3-6 months, yet the extent to which these recommendations are implemented by clinicians and followed by patients remains unclear. Methods: From January 2020 to December 2023, consecutive patients with myocarditis according to European Society of Cardiology criteria were prospectively enrolled. Myocarditis was categorised into acute, subacute and non-acute myocarditis. Patients completed a sports questionnaire and sports behaviour was categorised into no sports (NSP), recreational (REC) or competitive sports (COMP). Results: A total of 165 patients with myocarditis (mean age 50±17 years, 35% women) completed the questionnaire. Overall 73 (44%) patients received sports counselling. A total of 44 (72%) patients engaged in sports (REC+COMP) with acute or subacute myocarditis, received sports counselling with 38 (87%) adhering. Overall COMP patients (all male) received more counselling (11/11; 100%) compared with REC (53/105; 50%) and NSP (9/49; 18%). Of 39 women in the REC group, 14 (36%) received recommendations, whereas of 66 men 39 (59%) received recommendations (p<0.001). Of all patients engaged in sports, 55% received recommendations. Self-reported adherence to recommendations was significantly lower in COMP (73%) compared with REC (92%, p<0.001). Conclusion: Although only half of the myocarditis patients received counselling regarding sports activity, adherence to these recommendations was generally high but varied by activity level. Women received fewer recommendations overall compared with men. While competitive athletes were counselled more frequently than recreational athletes, they were less likely to adhere to the recommendations.
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Schütze et al. (2025) conducted a cohort in myocarditis (n=165). Competitive sports level vs. Recreational sports level was evaluated on Self-reported adherence to sports recommendations (p=<0.001). Self-reported adherence to sports recommendations was significantly lower in competitive athletes (73%) compared with recreational athletes (92%, p<0.001) with myocarditis.
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