- Email: [email protected]
Participants
lACC Vol. 6, No.6 December 1985: 1186-8
1186
BETHESDA CONFERENCE REPORT
16th Bethesda Conference: Cardiovascular Abnormalities in the Athlete: Recoinmendations Regarding Eligibility for Competition* JERE H. MITCHELL, MO, FACC, CO-CHAIRMAN BARRY
J.
MARON, MO, FACC, CO-CHAIRMAN
STEPHEN E. EPSTEIN, MO, FACC, CO-CHAIRMAN
This Conference, sponsored by the American College of Cardiology and cosponsored by the National Heart, Lung, and Blood Institute (National Institutes of Health, De• partment of Health and Human Services), was held at Heart House, Bethesda, Maryland, October 3 to 5, 1984.
Participants JERE H. MITCHELL, MD, FACC Professor of Internal Medicine and Physiology Director, Harry S. Moss Heart Center Frank M. Ryburn, Jr. Chair in Heart Research University of Texas Health Science Center at Dallas Southwestern Medical School Dallas, Texas
Conference Co-Chairman BARRYJ.MARON,MD,FACC Senior Investigator Cardiology B.ranch National Heart, Lung, and Blood Institute National Institutes of Health Bethesda, Maryland
Conference Co-Chairman STEPHEN E. EPStEIN, MD, FACC Chief, Cardiology Branch National Heart, Lung, and Blood Institute National Institutes of Health Bethesda, Maryland Clinical Professor of Medicine Georgetown University School of Medicine Washington, D.C.
Conference Co-Chairman
C. GUNNAR BLOMQVIST, MD, FACC Professor of Internal Medicine and Physiology Pauline and Adolph Weinberger Lab for Cardiopulmonary Research University of Texas Health Science Center at Dallas Southwestern Medical School Dallas, Texas ROBERT O. BONOW, MD, FACC Senior Investigator Chief, Nuclear Cardiology Section Cardiology Branch National Heart, Lung, and Blood Institute National Institutes of Health Bethesda, Maryland J. TIMOTHY BRICKER, MD Assistant Professor of Pediatric Cardiology Director of Exercise Laboratory Texas Children's Hospital Houston, Texas
L. MAXIMILIAN BUJA, MD, FACe A. J. Gill Professor of Pathology The University of Texas Health Science Center at Dallas Southwestern Medical School Dallas, Texas
MELVIN D. CHEITLlN, MD, FACC Professor of Medicine University of California San Francisco School of Medicine Associate Director, Cardiology Service San Francisco General Hospital San Francisco, California LEONARD A. COBB, MD, FACC Director, Division of Cardiology Harborview Medical Center Professor of Medicine University of Washington School of Medicine Seattle, Washington SIMON DACK, MD, FACC Editor-in-Chief Journal of the American College of Cardiology New York, New York
Past President, American College of Cardiology EDWARD D. FROHLICH, MD, FACC Vice President, Education and Research Alton Ochsner Medical Foundation Staff Member Section of Hypertensive Diseases, Ochsnel Clinic New Orleans, Louisiana
*The recommendations set forth in this report are those of the Conference participants and do not necessarily reflect the official position of the American College of Cardiology. Acknowledgments: Appreciation is expressed to the following for grants which partly supported this conference: Harry S. Moss Heart Center, Dallas, Texas Lawson and Rogers Lacy Research Fund in Cardiovascular Diseases, Dallas, Texas . Stanley J. Sarnoff Endowment for Cardiovascular Science, Bethesda, Maryland Address for reprints: American College of Cardiology, Heart House, 9111 Old Georgetown Road, Bethesda, Maryland 20814, Attention: Special Projects. © 1985 by the American College of Cardiology
0735-1097/85/$3.30
MITCHELL ET AL. BETHESDA CONFERENCE REPORT
JACC Vol. 6, No.6 December 1985: 1186-8
F. ANDREW GAFFNEY, MD, FACC Associate Professor of Medicine Cardiology Division University of Texas Health Science Center at Dallas Southwestern Medical School Dallas, Texas Payload Specialist, Spacelab Life Sciences I Johnson Space Center Houston, Texas
FRANK M. GALIOTO, JR, MD, FACC Associate Professor of Child Health and Development George Washington University School of Medicine Department of Cardiology Children's HospitaL National Medical Center Washington, D.C.
ARTHUR GARSON, JR, MD, FACC Associate Professor of Pediatrics and Medicine Baylor College of Medicine Director, Electrophysiology and Electrocardiography Texas Children's Hospital Houston, Texas
PAUL C. GILLETTE, MD, FACC Professor of Pediatrics Director of Pediatric Cardiology Medical University of South Carolina Charleston, South Carolina
THOMAS P. GRAHAM, JR, MD, FACC Professor of Pediatrics Director of Pediatric Cardiology Vanderbilt University School of Medicine Nashville, Tennessee
WILLIAM L. HASKELL, PHD, FACC Associate Professor of Medicine Co-Director, Cardiac Rehabilitation Program Stanford University School of Medicine Stanford, California
FREDERICK W. JAMES, MD, FACC Professor of Pediatrics University of Cincinnati College of Medicine Director, Cardiovascular Exercise Physiology Laboratory Division of Cardiology Children's Hospital Medical Center Cincinnati, Ohio
1187
THOMAS N. JAMES, MD, FACC The Mary Gertrude Waters Professor of Cardiology and Distinguished Professor of the University University of Alabama Medical Center Birmingham, Alabama
THOMAS G. PICKERING, MD Associate Professor of Medicine Cornell University Medical College Director. Coronary Care Unit The New York Hospital New York, New York
ROBERT M. JERESATY, MD, FACC Professor of Medicine University of Connecticut School of Medicine Farmington, Connecticut Director. Section of Cardiology Saint Francis Hospital and Medical Center Hartford, Connecticut
LAWRENCE RINK. MD, FACC Clinical Associate Professor of Medicine Indiana University School of Medicine Director of Cardiology, Bloomington Hospital Bloomington, Indiana
RALPH LAZZARA, MD, FACC Professor of Medicine Chief. Cardiovascular Section University of Oklahoma Health Sciences Center Oklahoma City, Oklahoma DAVID T. LOWENTHAL, MD, FACC Professor of Medicine and Pharmacology Director, Division of Clinical Pharmacology and Cardiac Fitness Likoff Cardiovascular Institute Hahnemann University Philadelphia, Pennsylvania WILLIAM J. McKENNA, MD Division of Cardiovascular Disease Royal Postgraduate Medical School London, England DAN G. McNAMARA, MD, FACC Professor of Pediatrics Baylor College of Medicine Chief of Pediatric Cardiology Texas Children's Hospital Houston, Texas Past President, American College of Cardiology HENRY S. MILLER, JR, MD, FACC Professor of Medicine Director, Section of Cardiology Bowman Gray School of Medicine Winston-Salem, North Carolina WILLIAM W. MILLER, MD, FACC Pediatric Cardiology SI. Mary's Hospital Richmond, Virginia WILLIAM W. PARMLEY, MD, FACC Professor of Medicine University of California San Francisco School of Medicine Chief of Cardiology H. C. Moffitt and Joseph Long Hospitals San Francisco. California 1985-1986 President, American College of Cardiology
WILLIAM C. ROBERTS, MD, FACC Chief, Pathology Branch National Heart, Lung, and Blood Institute National Institutes of Health Bethesda, Maryland Clinical Professor of Pathology and Medicine (Cardiology) Georgetown University School of Medicine Washington, D.C. AMNON ROSENTHAL, MD, FACC Director, Pediatric Cardiology Professor of Pediatrics C. S. Molt Children's Hospital University of Michigan Ann Arbor, Michigan THOMAS J. RYAN, MD, FACC Profe ,sor of Medicine Boston University School of Medicine Chief of Cardiology University Hospital Boston, Massachusetts
WILLIAM B. STRONG, MD, FACC Charbonnier Professor of Pediatrics Director, Section of Pediatric Cardiology Medical College of Georgia Augusta, Georgia
H. J. C. SWAN, MD, PHD, FACC Professor of Medicine University of California, Los Angeles UCLA School of Medicine Director of Cardiology Cedars-Sinai Medical Center Los Angeles, California Past President, American College of Cardiology
PAUL D. THOMPSON, MD, FACC Associate Professor of Medicine Brown University Program in Medicine The Miriam Hospital Providence, Rhode Island
1188
MITCHELL ET AL. BETHESDA CONFERENCE REPORT
JOHN WEISTART, JD, LDD Professor of Law Duke University Durham, North Carolina
JACC Vol. 6, No.6 December 1985: 1186-8
JOHN F. WILLIAMS, JR, MD, FACC Indiana University School of Medicine Senior Research Associate Krannert Institute of Cardiology Indianapolis, Indiana Past President, American College of Cardiology
DOUGLAS P. ZIPES, MD, FACC Professor of Medicine Indiana University School of Medicine Senior Research Associate Krannert Institute of Cardiology Indianapolis, Indiana
Conference Steering Committee JERE H. MITCHELL, MD, FACC, Co-Chairman BARRY J. MARON, MD, FACC, Co-Chairman STEPHEN E. EPSTEIN, MD, FACC, Co-Chairman C. GUNNAR BLOMQVIST, MD, FACC ROBERT O. BRANDENBURG, MD, FACC, ex officio WILLIAM H. HASKELL, PHD, FACC HENRY S. MILLER, MD, FACC WILLIAM C. ROBERTS, MD, FACC H. J. C. SWAN, MD, PHD, FACC, ex officio PAUL D. THOMPSON, MD, FAce
Staff American College of Cardiology WILLIAM D. NELLIGAN, CAE, Executive Vice President WILLIAM D. COUGHLAN, CAE, Deputy Executive Vice President DA VID J. FEILD, Director, Special Projects/Assistant to the Deputy Executive Vice President
1186
BETHESDA CONFERENCE REPORT
16th Bethesda Conference: Cardiovascular Abnormalities in the Athlete: Recoinmendations Regarding Eligibility for Competition* JERE H. MITCHELL, MO, FACC, CO-CHAIRMAN BARRY
J.
MARON, MO, FACC, CO-CHAIRMAN
STEPHEN E. EPSTEIN, MO, FACC, CO-CHAIRMAN
This Conference, sponsored by the American College of Cardiology and cosponsored by the National Heart, Lung, and Blood Institute (National Institutes of Health, De• partment of Health and Human Services), was held at Heart House, Bethesda, Maryland, October 3 to 5, 1984.
Participants JERE H. MITCHELL, MD, FACC Professor of Internal Medicine and Physiology Director, Harry S. Moss Heart Center Frank M. Ryburn, Jr. Chair in Heart Research University of Texas Health Science Center at Dallas Southwestern Medical School Dallas, Texas
Conference Co-Chairman BARRYJ.MARON,MD,FACC Senior Investigator Cardiology B.ranch National Heart, Lung, and Blood Institute National Institutes of Health Bethesda, Maryland
Conference Co-Chairman STEPHEN E. EPStEIN, MD, FACC Chief, Cardiology Branch National Heart, Lung, and Blood Institute National Institutes of Health Bethesda, Maryland Clinical Professor of Medicine Georgetown University School of Medicine Washington, D.C.
Conference Co-Chairman
C. GUNNAR BLOMQVIST, MD, FACC Professor of Internal Medicine and Physiology Pauline and Adolph Weinberger Lab for Cardiopulmonary Research University of Texas Health Science Center at Dallas Southwestern Medical School Dallas, Texas ROBERT O. BONOW, MD, FACC Senior Investigator Chief, Nuclear Cardiology Section Cardiology Branch National Heart, Lung, and Blood Institute National Institutes of Health Bethesda, Maryland J. TIMOTHY BRICKER, MD Assistant Professor of Pediatric Cardiology Director of Exercise Laboratory Texas Children's Hospital Houston, Texas
L. MAXIMILIAN BUJA, MD, FACe A. J. Gill Professor of Pathology The University of Texas Health Science Center at Dallas Southwestern Medical School Dallas, Texas
MELVIN D. CHEITLlN, MD, FACC Professor of Medicine University of California San Francisco School of Medicine Associate Director, Cardiology Service San Francisco General Hospital San Francisco, California LEONARD A. COBB, MD, FACC Director, Division of Cardiology Harborview Medical Center Professor of Medicine University of Washington School of Medicine Seattle, Washington SIMON DACK, MD, FACC Editor-in-Chief Journal of the American College of Cardiology New York, New York
Past President, American College of Cardiology EDWARD D. FROHLICH, MD, FACC Vice President, Education and Research Alton Ochsner Medical Foundation Staff Member Section of Hypertensive Diseases, Ochsnel Clinic New Orleans, Louisiana
*The recommendations set forth in this report are those of the Conference participants and do not necessarily reflect the official position of the American College of Cardiology. Acknowledgments: Appreciation is expressed to the following for grants which partly supported this conference: Harry S. Moss Heart Center, Dallas, Texas Lawson and Rogers Lacy Research Fund in Cardiovascular Diseases, Dallas, Texas . Stanley J. Sarnoff Endowment for Cardiovascular Science, Bethesda, Maryland Address for reprints: American College of Cardiology, Heart House, 9111 Old Georgetown Road, Bethesda, Maryland 20814, Attention: Special Projects. © 1985 by the American College of Cardiology
0735-1097/85/$3.30
MITCHELL ET AL. BETHESDA CONFERENCE REPORT
JACC Vol. 6, No.6 December 1985: 1186-8
F. ANDREW GAFFNEY, MD, FACC Associate Professor of Medicine Cardiology Division University of Texas Health Science Center at Dallas Southwestern Medical School Dallas, Texas Payload Specialist, Spacelab Life Sciences I Johnson Space Center Houston, Texas
FRANK M. GALIOTO, JR, MD, FACC Associate Professor of Child Health and Development George Washington University School of Medicine Department of Cardiology Children's HospitaL National Medical Center Washington, D.C.
ARTHUR GARSON, JR, MD, FACC Associate Professor of Pediatrics and Medicine Baylor College of Medicine Director, Electrophysiology and Electrocardiography Texas Children's Hospital Houston, Texas
PAUL C. GILLETTE, MD, FACC Professor of Pediatrics Director of Pediatric Cardiology Medical University of South Carolina Charleston, South Carolina
THOMAS P. GRAHAM, JR, MD, FACC Professor of Pediatrics Director of Pediatric Cardiology Vanderbilt University School of Medicine Nashville, Tennessee
WILLIAM L. HASKELL, PHD, FACC Associate Professor of Medicine Co-Director, Cardiac Rehabilitation Program Stanford University School of Medicine Stanford, California
FREDERICK W. JAMES, MD, FACC Professor of Pediatrics University of Cincinnati College of Medicine Director, Cardiovascular Exercise Physiology Laboratory Division of Cardiology Children's Hospital Medical Center Cincinnati, Ohio
1187
THOMAS N. JAMES, MD, FACC The Mary Gertrude Waters Professor of Cardiology and Distinguished Professor of the University University of Alabama Medical Center Birmingham, Alabama
THOMAS G. PICKERING, MD Associate Professor of Medicine Cornell University Medical College Director. Coronary Care Unit The New York Hospital New York, New York
ROBERT M. JERESATY, MD, FACC Professor of Medicine University of Connecticut School of Medicine Farmington, Connecticut Director. Section of Cardiology Saint Francis Hospital and Medical Center Hartford, Connecticut
LAWRENCE RINK. MD, FACC Clinical Associate Professor of Medicine Indiana University School of Medicine Director of Cardiology, Bloomington Hospital Bloomington, Indiana
RALPH LAZZARA, MD, FACC Professor of Medicine Chief. Cardiovascular Section University of Oklahoma Health Sciences Center Oklahoma City, Oklahoma DAVID T. LOWENTHAL, MD, FACC Professor of Medicine and Pharmacology Director, Division of Clinical Pharmacology and Cardiac Fitness Likoff Cardiovascular Institute Hahnemann University Philadelphia, Pennsylvania WILLIAM J. McKENNA, MD Division of Cardiovascular Disease Royal Postgraduate Medical School London, England DAN G. McNAMARA, MD, FACC Professor of Pediatrics Baylor College of Medicine Chief of Pediatric Cardiology Texas Children's Hospital Houston, Texas Past President, American College of Cardiology HENRY S. MILLER, JR, MD, FACC Professor of Medicine Director, Section of Cardiology Bowman Gray School of Medicine Winston-Salem, North Carolina WILLIAM W. MILLER, MD, FACC Pediatric Cardiology SI. Mary's Hospital Richmond, Virginia WILLIAM W. PARMLEY, MD, FACC Professor of Medicine University of California San Francisco School of Medicine Chief of Cardiology H. C. Moffitt and Joseph Long Hospitals San Francisco. California 1985-1986 President, American College of Cardiology
WILLIAM C. ROBERTS, MD, FACC Chief, Pathology Branch National Heart, Lung, and Blood Institute National Institutes of Health Bethesda, Maryland Clinical Professor of Pathology and Medicine (Cardiology) Georgetown University School of Medicine Washington, D.C. AMNON ROSENTHAL, MD, FACC Director, Pediatric Cardiology Professor of Pediatrics C. S. Molt Children's Hospital University of Michigan Ann Arbor, Michigan THOMAS J. RYAN, MD, FACC Profe ,sor of Medicine Boston University School of Medicine Chief of Cardiology University Hospital Boston, Massachusetts
WILLIAM B. STRONG, MD, FACC Charbonnier Professor of Pediatrics Director, Section of Pediatric Cardiology Medical College of Georgia Augusta, Georgia
H. J. C. SWAN, MD, PHD, FACC Professor of Medicine University of California, Los Angeles UCLA School of Medicine Director of Cardiology Cedars-Sinai Medical Center Los Angeles, California Past President, American College of Cardiology
PAUL D. THOMPSON, MD, FACC Associate Professor of Medicine Brown University Program in Medicine The Miriam Hospital Providence, Rhode Island
1188
MITCHELL ET AL. BETHESDA CONFERENCE REPORT
JOHN WEISTART, JD, LDD Professor of Law Duke University Durham, North Carolina
JACC Vol. 6, No.6 December 1985: 1186-8
JOHN F. WILLIAMS, JR, MD, FACC Indiana University School of Medicine Senior Research Associate Krannert Institute of Cardiology Indianapolis, Indiana Past President, American College of Cardiology
DOUGLAS P. ZIPES, MD, FACC Professor of Medicine Indiana University School of Medicine Senior Research Associate Krannert Institute of Cardiology Indianapolis, Indiana
Conference Steering Committee JERE H. MITCHELL, MD, FACC, Co-Chairman BARRY J. MARON, MD, FACC, Co-Chairman STEPHEN E. EPSTEIN, MD, FACC, Co-Chairman C. GUNNAR BLOMQVIST, MD, FACC ROBERT O. BRANDENBURG, MD, FACC, ex officio WILLIAM H. HASKELL, PHD, FACC HENRY S. MILLER, MD, FACC WILLIAM C. ROBERTS, MD, FACC H. J. C. SWAN, MD, PHD, FACC, ex officio PAUL D. THOMPSON, MD, FAce
Staff American College of Cardiology WILLIAM D. NELLIGAN, CAE, Executive Vice President WILLIAM D. COUGHLAN, CAE, Deputy Executive Vice President DA VID J. FEILD, Director, Special Projects/Assistant to the Deputy Executive Vice President