Why the study?
Masters athletes aged ≥35 yr with underlying cardiovascular disease require disease-specific risk stratification and shared decision-making when considering competitive sports participation.
This 2025 AHA/ACC Task Force document establishes disease-specific risk stratification and shared decision-making as the foundation for evaluating competitive sports participation in Masters athletes aged ≥35 years with cardiovascular conditions.
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Informs clearance decisions for Masters athletes with CVD; extends prior AHA/ACC statements with disease-specific frameworks.
Masters athletes are individuals ≥35 yr of age who place a high premium on exercise training and competition. This document details important cardiovascular conditions, risk factors, and data-driven discussion, which serve as the rationale for Section X from the 2025 AHA/ACC Scientific Statement: Clinical Considerations for Competitive Sports Participation for Athletes Cardiovascular Abnormalities. Disease-specific risk stratification and shared decision-making are the cornerstones for Masters athletes when considering competitive sports participation. Coronary artery disease, atrial fibrillation, incidental myocardial fibrosis, aortic enlargement and aneurysms, and valvular heart disease are included in this Task Force document.
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Dineen et al. (2026) conducted a review in Cardiovascular disease in Masters athletes (coronary artery disease, atrial fibrillation, incidental myocardial fibrosis, aortic enlargement and aneurysms, and valvular heart disease). Disease-specific risk stratification and shared decision-making for competitive sports participation was evaluated. Disease-specific risk stratification and shared decision-making serve as the cornerstones for guiding competitive sports participation in Masters athletes aged ≥35 years with cardiovascular disease.
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