{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:46:56Z","timestamp":1791917216247,"version":"4.3.4"},"reference-count":44,"publisher":"Sociedade Brasileira de Cardiologia","issue":"8","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo  Fundamento  Embora historicamente desaconselhado devido ao risco de arritmias e morte s\u00fabita card\u00edaca (MSC), o exerc\u00edcio f\u00edsico (EF) pode ser seguro e ben\u00e9fico para indiv\u00edduos com cardiomiopatia hipertr\u00f3fica (CMH).  Objetivo  Avaliar a associa\u00e7\u00e3o entre a pr\u00e1tica de EF e a incid\u00eancia de mortalidade e de eventos arr\u00edtmicos em adultos portadores de CMH, estratificando a an\u00e1lise conforme os diferentes tipos e intensidades de exerc\u00edcio realizados.  M\u00e9todos  Revis\u00e3o sistem\u00e1tica de ensaios cl\u00ednicos randomizados (ECRs) e estudos observacionais identificados nas bases de dados PubMed, Embase e Cochrane Library at\u00e9 dezembro de 2024. Foram inclu\u00eddos estudos com indiv\u00edduos submetidos a diferentes intensidades de EF. O risco de vi\u00e9s foi avaliado pelas ferramentas RoB 2 e ROBINS-I, e a certeza da evid\u00eancia, pela ferramenta GRADE. As recomenda\u00e7\u00f5es foram elaboradas por um painel de especialistas da Sociedade Brasileira de Cardiologia.  Resultados  Oito estudos (quatro ECRs e quatro observacionais; 9744 participantes) foram inclu\u00eddos. Nenhum deles relatou aumento no risco de mortalidade ou de eventos arr\u00edtmicos graves associados ao EF, mesmo em intensidades moderadas ou vigorosas. A ocorr\u00eancia de s\u00edncope foi rara. Al\u00e9m disso, um estudo observacional coreano, envolvendo mais de 7 mil participantes (idade m\u00e9dia: 59 anos), demonstrou redu\u00e7\u00e3o da mortalidade por todas as causas com maior intensidade de atividade f\u00edsica (curva dose-resposta). Em atletas de baixo risco, o esporte competitivo n\u00e3o se associou a eventos adversos graves. A qualidade da evid\u00eancia variou de moderada a muito baixa.  Conclus\u00e3o  O EF na CMH deve ser incentivado com base em avalia\u00e7\u00e3o individualizada. Em pacientes sem crit\u00e9rios para alto risco de MSC, os benef\u00edcios parecem superar os riscos. Para subgrupos de maior risco, a recomenda\u00e7\u00e3o \u00e9 mais cautelosa e baseada em consenso de especialistas.<\/jats:p>","DOI":"10.36660\/abc.20260423","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:03:17Z","timestamp":1791914597000},"source":"Crossref","is-referenced-by-count":0,"title":["Revis\u00e3o Sistem\u00e1tica sobre a Seguran\u00e7a do Exerc\u00edcio F\u00edsico na Cardiomiopatia Hipertr\u00f3fica: Recomenda\u00e7\u00f5es da Sociedade Brasileira de Cardiologia"],"prefix":"10.36660","volume":"123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2357-5176","authenticated-orcid":false,"given":"Ricardo","family":"Stein","sequence":"first","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre","place":["Porto Alegre, RS, Brasil"]},{"name":"Universidade Federal do Rio Grande do Sul","place":["Porto Alegre, RS, Brasil"]},{"name":"Universidade Federal do Rio Grande do Sul","place":["Porto Alegre, RS, 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