Sports Cardiology Cases Second Edition

emphasized the hope that "this first focus issue will spark even more interest in the exciting field of sports cardiology."Just 3.5 years later, 14 cases have grown to 39 published cases, perspectives, and minireviews out of more than 70 submissions.Each of the current pieces covers critical areas of clinical importance in sports cardiology with an emphasis on the core competencies necessary to diagnose and manage athletic patients and ongoing areas of clinical uncertainty that challenge practicing sports cardiologists.In addition, these cases cover the breadth of clinical cardiology, including imaging, prevention, electrophysiology, interventional, pediatric, and congenital.Although it has been only a few years since the first iteration of a sports cardiology-themed issue, the field continues to grow in complexity and remains established as a vital subspecialty within cardiology.Most importantly, an updated scientific statement from the American College of Cardiology and the American Heart Association providing clinical considerations for competitive sports for athletes with cardiovascular pathology was published in 2025. 2 In this document and divergent from more than 30 years of sports cardiology practice, there is a new primary emphasis on patient-centered care and the requirement for shared decision making in the management of competitive athletes with heart disease. 2 No longer is it acceptable to approach returnto-play considerations for athletes with heart conditions with a philosophy of uniform disqualification.