Need to perform:
"It is recommended that before participation in competitive sports, all CCTGA athletes should undergo evaluation that includes clinical assessment, ECG, imaging assessment of ventricular function, and exercise testing."
(Class I Recommendation; Level of Evidence B)
Asymptomatic, no abnormalities on evaluation
"Asymptomatic athletes with CCTGA and without abnormalities on clinical evaluation may be considered for participation in moderate- to high-intensity competitive sports (classes II and IIIB or IIIC)."
(Class IIb Recommendation;
Level of Evidence C)
Without arrhythmias, ventricular dysfunction, exercise intolerance, or exercise-induced ischemia
"Athletes with CCTGA and without clinically significant arrhythmias, ventricular dysfunction, exercise intolerance, or exercise-induced ischemia may be considered for participation in low- and moderate-intensity competitive sports (class IA and IB)."
(Class IIb Recommendation;
Level of Evidence C)
Arrhythmias, severe ventricular dysfunction
"Participation in competitive sports in those CCTGA athletes with a history of clinically significant arrhythmias or severe ventricular dysfunction may be considered on an individual basis based on clinical stability."
(Class IIb Recommendation;
Level of Evidence C)
Severe systemic RV dysfunction, severe RVOTO, recurrent arrhythmias
"Athletes with severe clinical systemic RV dysfunction, severe RV outflow tract obstruction, or recurrent or uncontrolled atrial or ventricular arrhythmias should be restricted from all competitive sports, with the possible exception of low-intensity (class IA) sports."
(Class III Recommendation;
Level of Evidence C)
Reference: Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities.
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: ECG = electrocardiogram, LV = left ventricle, RV = right ventricle, echo = echocardiogram