Why the study?
Competitive sports eligibility recommendations historically endorsed a paternalistic care model with unilateral physician decisions, even though sport participation has implications for athletes that may not be obvious to clinicians without effective engagement.
Establishes shared decision making as the preferred ethical and clinical framework over paternalism when determining sports eligibility for competitive athletes with cardiovascular disease.
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Challenges paternalistic models in sports eligibility decisions; extends shared decision-making principles from general cardiology to competitive athletes with cardiovascular disease.
Competitive sports eligibility recommendations historically have endorsed a paternalistic care model in which physicians unilaterally determined eligibility for competitive athletes with cardiovascular disease. However, competitive sport participation may have implications for athletes that are not obvious to clinicians in the absence of effective engagement. Shared decision making is supported by fundamental ethical principles, has been endorsed in other realms of cardiology, and now represents the preferred approach to determine future sports participation among competitive athletes diagnosed with cardiovascular disease. The primary emphasis of this task force is to discuss the rationale for and clinical implementation of shared decision making during consideration of competitive sports participation among athletes with cardiovascular disease, and to highlight potential legal implications.
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Shah et al. (2026) studied Cardiovascular disease in competitive athletes. Shared decision making vs. Paternalistic care model (unilateral physician determination) was evaluated. Shared decision making represents the preferred approach over unilateral physician determination for assessing competitive sports participation among athletes with cardiovascular disease.
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