CardioRef: AHA/ACC 2015 Sports Participation Selector Guide: ALCAPA or ARCAPA

By the ACC/AHA 2015 guidelines, should my patient with participate in organized sports?

Should my patient with ALCAPA or ARCAPA participate in organized sports?

Anomalous coronary artery from pulmonary artery (ALCAPA or ARCAPA)

Prior to ALCAPA/ARCAPA repair

"Athletes with anomalous origin of a coronary artery from the pulmonary artery can participate only in low-intensity class IA sports, whether or not they have had a prior myocardial infarction, and pending repair of the anomaly."

Only Class IA sports

(Class I Recommendation; Level of Evidence C)

⇓

After ALCAPA/ARCAPA repair

"After repair of anomalous origin of a coronary artery from the pulmonary artery, decisions regarding exercise restriction may be based on presence of sequelae such as myocardial infarction or ventricular dysfunction."

Conditional (see above)

(Class IIb Recommendation; Level of Evidence C)

Reference: Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force . A Scientific Statement From the AHA and ACC. Circulation 2015

Disclaimer: This website is derived from published guidelines, but does not constitute medical advice nor does it replace clinical judgement. Only the text in quotation marks are direct quotations from the original guidelines. Text not in quotations as well as the method of information display are all that of the website creator and are not part of the original published guidelines. Please consult a physician to discuss any patient-specific matters.