Key result
Nearly ~70% of athletes would continue competing despite sudden cardiac death risk.
Cross-Sectional (n=453)
No
Young competitive athletes show significant variability in acceptable risk levels for sudden cardiac death and strongly prioritize patient autonomy in shared decision-making regarding athletic eligibility.
Answers are grounded in this paper and cite their sources.
May inform athlete-centered eligibility counseling; leaves open prospective validation of risk tolerance effects on outcomes.
Journal Article Accepted manuscript Risk Tolerance and Eligibility Decision-Making Strategies Among Young Competitive Athletes: Novel Insights into the Emerging Practice of Shared Decision Making Get access Timothy W Churchill, MD, Timothy W Churchill, MD Cardiovascular Performance Program, Division of Cardiology, Massachusetts General Hospital, Boston, MA https://orcid.org/0000-0002-0215-3049 Search for other works by this author on: Oxford Academic Google Scholar Anna C O'Kelly, MD, MPhil, Anna C O'Kelly, MD, MPhil Division of Cardiology, Massachusetts General Hospital, Boston, MA Search for other works by this author on: Oxford Academic Google Scholar Sarah C Montembeau, BA, Sarah C Montembeau, BA Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA Search for other works by this author on: Oxford Academic Google Scholar Jonathan H Kim, MD, Jonathan H Kim, MD Division of Cardiology, Emory Clinical Cardiovascular Research Institute, Atlanta, GA Search for other works by this author on: Oxford Academic Google Scholar James S Guseh, MD, James S Guseh, MD Cardiovascular Performance Program, Division of Cardiology, Massachusetts General Hospital, Boston, MA Search for other works by this author on: Oxford Academic Google Scholar Meagan M Wasfy, MD, MPH, Meagan M Wasfy, MD, MPH Cardiovascular Performance Program, Division of Cardiology, Massachusetts General Hospital, Boston, MA Search for other works by this author on: Oxford Academic Google Scholar Neal W Dickert, MD PhD, Neal W Dickert, MD PhD Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA Search for other works by this author on: Oxford Academic Google Scholar Aaron L Baggish, MD Aaron L Baggish, MD Cardiovascular Performance Program, Division of Cardiology, Massachusetts General Hospital, Boston, MADepartment of Cardiology, Lausanne University Hospital and Institute for Sport Science, Lausanne, Switzerland Address for Correspondance: Aaron L. Baggish MD, Institute for Sport Science, Service de Cardiologie, Bâtiment Hospitalier CHUV, 1011, Lausanne, Suisse, +41 21 314 00 13, Email: aaronbaggish@chuv.ch Search for other works by this author on: Oxford Academic Google Scholar European Journal of Preventive Cardiology, zwad250, https://doi.org/10.1093/eurjpc/zwad250 Published: 26 July 2023 Article history Received: 26 May 2023 Revision received: 18 July 2023 Accepted: 24 July 2023 Published: 26 July 2023
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Churchill et al. (2023) conducted a cross-sectional in Hypothetical cardiovascular disease with risk of sudden cardiac death (n=453). Hypothetical shared decision-making scenario (survey) was evaluated on Stated risk tolerance for sudden cardiac death and prioritization of stakeholders in shared decision-making. Nearly 70% of athletes indicated they would continue competing accepting a 1:50,000 annual sudden cardiac death risk, identifying themselves as the primary decision-maker in the shared decision-making process.
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