title: [Points of departure in sports counseling of children with congenital heart defects].
abstract: When counseling children with congenital heart disease who want to participate in sports, it is, generally speaking, preferable to choose a dynamic sport rather than a static one. Also, the degree of intensity is of major importance. In this connection it is useful to differentiate between recreation-oriented and achievement-oriented participation in sports. The extra risks for a child with congenital heart disease are progression of the severely of the anomaly, rhythm-disturbances, sudden death, and complications due to medication. For the majority of these children the recommendation will be a strictly individual one, based on the (exercise)electrocardiogram, the 24-hours-ECG monitoring, and the echo-Doppler-cardiogram. Invasive techniques are usually unnecessary.
authors.affiliation: Kindercardiologie, Academisch Ziekenhuis Leiden.
authors.forename: J
authors.initials: J
authors.lastname: Rohmer
authors.forename: S
authors.initials: S
authors.lastname: de Knecht
mesh_terms: D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000517:prevention & control; D002648:Child; D003376:Counseling; D003645:Death, Sudden / Q000209:etiology; D006330:Heart Defects, Congenital / Q000150:complications*; D006334:Heart Function Tests; D006801:Humans; D013177:Sports
vernacular_title: Uitgangspunten bij de sportadvisering van kinderen met een aangeboren hartafwijking.