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Wrist and Hand Conditions

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Recommendations for<br />

participation in athletic activities<br />

C<strong>and</strong>idates with unequivocal diagnosis of HCM who are<br />

>35 year of age <strong>and</strong> have no risk factors (e.g., family<br />

history of sudden death, syncope, sustained or nonsustained<br />

ventricular tachycardia, marked left ventricular<br />

hypertrophy, left ventricular outflow gradient >50 mmHg,<br />

exercise-induced ischemia or hypotension, <strong>and</strong> carriers<br />

of certain high-risk genes) may reasonably be considered<br />

at low risk for sudden cardiac death. In selected subjects,<br />

participation in mild to moderate athletic activities<br />

(Classes IA, IB, <strong>and</strong> IIA) may be allowed, as long as<br />

periodic evaluations are done at least once a year.

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