CardioRef: AHA/ACC 2015 Sports Participation Selector Guide: Channelopathies: CPVT

Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT)

General Recommendations:

All patients with suspected channelopathy

"For athletes with a suspected/diagnosed cardiac channelopathy, a comprehensive evaluation by a heart rhythm specialist or genetic cardiologist with sufficient experience and expertise with these disorders is recommended."

Get evaluated by heart rhythm specialist or genetic cardiologistj

(Class I Recommendation; Level of Evidence C)

Sympatomatic with suspected/diagnosed channelopathy

"It is recommended that symptomatic athletes with any suspected or diagnosed cardiac channelopathy be restricted from all competitive sports until a comprehensive evaluation has been completed, the athlete and his or her family are well informed, a treatment program has been implemented, and the athlete has been asymptomatic on therapy for 3 months."

No sports until comprehensive evaluation completed

(Class I Recommendation; Level of Evidence C)

CPVT Recommendations:

Need to know:

Ever symptomatic?
Exercise-induced PVCs in bigeminy, couplet, or non-sustained ventricular tachycardia?

⇙

⇘

Never symptomatic, no exercise-induced PVC in bigeminy/couplets/NSVT

It is reasonable for an asymptomatic athlete with genotype-positive/phenotype-negative (ie, concealed channelopathy) CPVT to participate in all competitive sports with appropriate precautionary measures, including

electrolyte/hydration replenishment and avoidance of dehydration
acquisition of a personal automatic external defibrillator as part of the athlete’s personal sports safety gear
establishment of an emergency action plan with the appropriate school or team officials

All sports = reasonable if the above precautionary measures are undertaken

(Class IIa Recommendation; Level of Evidence C)

History of symptomatic CPVT or asymptomatic CPVT with exercise-induced PVC in bigeminy/couplets/NSVT

"For an athlete with previously symptomatic CPVT or an asymptomatic CPVT athlete with exercise-induced premature ventricular contractions in bigeminy, couplets, or nonsustained ventricular tachycardia, participation in competitive sports is not recommended except for class IA sports."

"Exceptions to this limitation should be made only after consultation with a CPVT specialist."

No sports participation, except for Class IA sports

(Class III Recommendation; Level of Evidence C)

Reference: Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 10: The Cardiac Channelopathies. 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.