Key result
Review outlines practical shared decision making approaches for return-to-play in competitive athletes with CVD.
Why the study?
Recent guidance supports a patient-centered shared decision-making model for sports eligibility, prompting the need to summarize practical approaches to return-to-play decisions for athletes with heart disease.
Highlights the importance of shared decision making and patient-centered care in determining return-to-play eligibility for athletes with cardiovascular disease.
Supports shared decision-making for athlete eligibility with CVD; leaves open prospective validation of implementation and outcomes.
The diagnosis and management of cardiovascular disease (CVD) in competitive athletes represent a fundamental responsibility of the sports medicine community. Following the diagnosis of a CVD in a competitive athlete, it is the responsibility of the sports medicine team to delineate an effective treatment and management strategy that places the health and wellness of the athlete as the primary objective. An essential and often challenging aspect of this process is determining the appropriateness of continued participation (i.e., "return-to-play") in competitive athletics. Recently, a joint American Heart Association and American College of Cardiology Scientific Statement delineating sports eligibility supports a more patient-centered care model that supports shared decision making for clinicians and their patients/families. The present document was written to summarize the changing sports cardiology landscape with an aim of providing the cardiology and sports medicine communities with some practical approaches to eligibility decision making for competitive athletes with heart disease.
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Baggish et al. (2019) conducted a review in Cardiovascular disease in competitive athletes. Shared decision making was evaluated. This document provides practical approaches to shared decision making regarding sports eligibility and return-to-play for competitive athletes with cardiovascular disease.
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