Should have workup including:
"Athletes with AFL should undergo an evaluation that includes thyroid function tests, queries for drug use, ECG, and echocardiogram (Class I Recommendation; Level of Evidence B)."
No symptoms
"Catheter ablation for typical AFL has a high likelihood of success and should be considered."
(Class I Recommendation; Level of Evidence B)
On anticoagulation (other than ASA)
"When anticoagulation, other than with aspirin, is indicated in an athlete, it is reasonable to consider the bleeding risk in the context of the specific sport before clearance."
(Class IIa Recommendation; Level of Evidence C)
Reference: Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 9.
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: AFL = atrial flutter, ASA = aspirin, ECG = electrocardiogram, TFTs = thyroid function tests