Key result
A standardized international return-to-play framework based on shared decision-making is proposed for athletes with implantable cardioverter defibrillators to balance safety and autonomy.
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A standardized international return-to-play framework based on shared decision-making is needed for athletes with ICDs to harmonize disparate national policies and balance athlete autonomy with safety.
This viewpoint discusses disparities in return-to-play (RTP) policies for athletes with implantable cardioverter defibrillators (ICDs), highlighted by the case of professional football (soccer) player Christian Eriksen. It argues for an international consensus based on shared decision-making to harmonize national policies, balancing athlete autonomy and safety. Current RTP policies vary significantly across countries, creating inconsistencies that impact athletes’ careers. Given emerging evidence on the safety of sports participation for athletes with ICDs, the application of an international standardized approach based on shared decision-making is proposed that prioritizes athlete safety without neglecting individual responsibility. Christian Eriksen’s return to professional sports underscores disparities in return-to-play (RTP) guidelines for athletes with an implantable cardioverter defibrillator (ICD). Evidence supports the safety of sports participation for athletes with ICDs. A standardized international RTP framework - based on current guideline recommendations and shared decision-making - is proposed that prioritizes athlete safety without neglecting individual responsibility.
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Andréas Müssigbrodt (2025) conducted an editorial in Athletes with implantable cardioverter defibrillators (ICDs). Standardized international return-to-play framework was evaluated. A standardized international return-to-play framework based on shared decision-making is proposed for athletes with implantable cardioverter defibrillators to balance safety and autonomy.
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