Purpose of Review

To discuss the possible harmful effects and pathophysiology of exercise in cases of pericarditis, explore the role of multi-modality imaging to help guide exercise recommendations, and compare U.S. with European guideline recommendations on the safe resumption of physical activity following resolution of pericarditis.

Recent Findings

Despite multiple postulated mechanisms by which exercise may be harmful during active inflammation of the myocardium or pericardium, the exact pathophysiology remains largely unknown. The inclusion of multi-modality cardiac imaging may play a role in further elucidating the relationship of exercise with outcomes in pericarditis. More recently, the prevalence of COVID-19 cardiac involvement in athletes prior to returning to play appears lower than previously reported; however, current recommendations are consistent with those for other etiologies of pericarditis.

Summary

Further research is certainly needed to better understand the relationship between physical activity and pericarditis, the pathophysiology, and the prognostic role of multimodality imaging.

中文翻译：

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体力活动对心包炎的影响

审查目的

讨论运动在心包炎病例中可能产生的有害影响和病理生理学，探讨多模态成像在帮助指导运动建议方面的作用，并将美国与欧洲关于在心包炎消退后安全恢复体力活动的指南建议进行比较。

最近的发现

尽管在心肌或心包的活动性炎症期间运动可能有害的多种假设机制，但确切的病理生理学仍然很大程度上未知。纳入多模态心脏成像可能在进一步阐明运动与心包炎结局之间的关系方面发挥作用。最近，运动员重返赛场前 COVID-19 心脏受累的患病率似乎低于先前报道的；然而，目前的建议与其他心包炎病因的建议一致。

概括

当然需要进一步的研究来更好地了解体力活动与心包炎之间的关系、病理生理学以及多模态成像的预后作用。