Key result
Invasive EP study confirms low-risk pathway, clearing athlete with asymptomatic preexcitation for sports without ablation.
Population
A 22-year-old college hockey player with incidental ventricular preexcitation
Design
Case report
Authors
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Hypothesis-generating for EPS-guided return-to-play without ablation in select athletes; prospective studies needed before practice change.
Case Report (n=1)
In asymptomatic young athletes with ventricular preexcitation, comprehensive risk stratification using CPET and EPS can identify low-risk pathways and safely guide return-to-play decisions without the need for ablation.
Birchak et al. (2021) conducted a case report in Asymptomatic ventricular preexcitation (n=1). Electrophysiology study (EPS) and cardiopulmonary exercise test (CPET) was evaluated. An invasive electrophysiology study confirmed a low-risk accessory pathway in a 22-year-old athlete with asymptomatic ventricular preexcitation, allowing return to competitive sports without ablation.
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