Pedi CardioRef
Reference: ACC/AHA Sports Participation Recommendations (Circulation 2015) Task Force 9: Arrhythmias and Conduction Defects

participate in organized sports?

Should my patient with Second-degree AV Block, Type 2 participate in organized sports?

Need to know:

Wide QRS

"Athletes with Mobitz type II second-degree AV block with a wide QRS, including isolated right bundle-branch block (RBBB) should receive a permanent pacemaker."

"Restrictions for athletic participation for those with pacemakers are in the section on 'Athletes with Permanent Pacemakers'."

Should have permanent pacemaker

(Class I Recommendation; Level of Evidence C)


See guideline for athletes with permanent pacemakers

Narrow QRS, asymptomatic

"Permanent pacemaker implantation is reasonable for athletes with asymptomatic Mobitz type II second-degree AV block with a narrow QRS."

Permanent pacemaker implantation is reasonable

(Class IIa Recommendation; Level of Evidence C)


See guideline for athletes with permanent pacemakers

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.

Key: RBBB = right bundle branch block