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Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“In the past, there was no shared decision-making about sports eligibility for athletes with heart disease. These athletes were automatically prohibited from participating in sports if almost any cardiac issue was present.”
“This fits in line with a more-than-40-year continuum of providing clinical guidance to practitioners who take care of competitive athletes with underlying heart conditions. The last iteration was published in 2015, and there have been many changes over the last 10 years, and those recommendations were outdated.”
“These recommendations are intended to help healthcare providers and competitive athletes make individualized decisions based on the most current scientific research, the patient's understanding of their risk and the healthcare provider's clinical judgment, but are not intended to establish absolute mandates or to make the general medical (and legal) standard of care applicable to all competitive athletes.”
Levine et al. (2015) studied this question.
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