Why the study?
Athletes with congenital heart disease are commonly restricted from competitive sports based on limited data regarding exercise-induced sudden cardiac death risk, prompting a review of cardiac assessment and shared decision-making strategies to guide sports participation.
Provides a structured clinical assessment and shared decision-making framework to guide competitive sports participation for young athletes with congenital heart disease.
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May reduce unnecessary restrictions for most athletes with congenital heart disease; extends prior consensus by prioritizing individualized multi-factorial assessment and shared decision-making.
Athletes with congenital heart disease are commonly restricted from competitive sports participation based on limited data regarding exercise-induced sudden cardiac death risk. For most athletes, the myriad of benefits derived from participating in competitive sports outweighs the risk. This document reviews the cardiac assessment that may be considered for children, adolescents, and young adults with congenital heart disease. By utilizing anatomy, physiology, symptoms, and cardiac testing, together with shared decision-making, the authors propose a strategy to help guide medical providers advising their patients on sports participation.
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Brothers et al. (2026) conducted a review in Congenital heart disease in competitive athletes. Cardiac assessment strategy utilizing anatomy, physiology, symptoms, cardiac testing, and shared decision-making was evaluated. A strategy combining anatomy, physiology, symptoms, cardiac testing, and shared decision-making is proposed to guide sports participation in athletes with congenital heart disease.
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