Strict physical and sports activity restriction is always indicated in patients with myocarditis [26, 43, 96, 98, 99, 100]. In both sportsmen and non-professional sportsmen, the minimal time of this restriction is six months provided that the heart function normalized, there are observed no clinically relevant arrhythmias and the patients is asymptomatic [128]. The physical activity should be increased gradually [99]. In experiment with mice models, the mortality rate of mice was higher in groups with an increased physical activity during the acute phase of myocarditis (67-72 % in “exercising” and 4-40 % in “non-exercising”), [129].
Authors of the opening picture: own resource and Database Center for Life Science -DBCLS
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References:
26) COOPER L. T., JR., KNOWLTON K. U. Chapter 67: Myocarditis. In.: D.P., ZIPES, MANN D.L., LIBBY P., BONOW R.O. a BRAUNWALD E. (eds.). Braunwald´s Heart Disease: A Textbook of Cardiovascular medic Tenth edition. Philadelphia: Elsevier Saunders, 2015. pp. 1589–1602. ISBN 978-1-4557-5133-4.
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98) KINDERMANN, I. a et al. Update on Myocarditis. Journal of the American College of Cardiology. 2012, 59(9), 779-792.
99) KUCHYNKA, P. a et al. Myokarditida a zánětlivá kardiomyopatie. Kapitoly z kardiologie. 2013, 3(-), 87-91.
100) KREJČÍ, J. Myokarditidy a zánětlivé kardiomyopatie. Kardiologická Revue Interní Medicína. 2015, 17(4), 288-294.
128) MARON, B.J. a et al. Task Force 4: HCM and other cardiomyopathies, mitral valve prolapse, myocarditis, and Marfan syndrome. JACC [online]. 2005, 45(8), 1340-1345 [cit. 2017-02-27].
129) CABINIAN, A.E. a et al. Modification of exercise-aggravated coxsackievirus B3 murine myocarditis by T lymphocyte suppression in an inbred model: Abstract. J Lab Clin Med. [online]. 1990, 115(4), 454-462 [cit. 2017-02-27].