CardioRef: AHA/ACC 2015 Sports Participation Selector Guide: First-Degree AV Block

Should my patient with First-Degree AV Block participate in organized sports?

Need to know:

Structural heart disease?
Exercise study findings
Symptoms?

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Asymptomatic, no structural heart disease

"Asymptomatic athletes with no structural heart disease and first-degree AV block (PR interval < 0.3 ms) can participate in all competitive sports unless there are findings that indicate that the person is at risk for progression to higher-degree block that would symptoms."

All sports = acceptable unless findings indicating risk for progression to higher-degree block

(Class I Recommendation; Level of Evidence C)

Asymptomatic, type 1 second-degree AV block with exercise

"Asymptomatic athletes with first-degree AV block, in whom type I second-degree AV block appears with exercise, should be evaluated further for possible intra-His or infra-His block with EPS."

Should undergo EP study

(Class I Recommendation; Level of Evidence C)

Structural heart disease

"If structural heart disease is present, athletic restrictions should be recommended as appropriate for the type of structural heart disease."

Depends on structural heart disease

(Class I Recommendation; Level of Evidence C)

Reference: Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 9: Arrhythmias and Conduction Defects. 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.