Pedi CardioRef
Reference: ACC/AHA Sports Participation Recommendations (Circulation 2015) Task Force 8: Coronary Artery Disease

participate in organized sports?

Should my patient with Coronary Artery Disease participate in organized sports?

Myocardial Bridging


Need to know:

No ischemia with adequate stress test

"It is reasonable for athletes with myocardial bridging and no evidence of myocardial ischemia during adequate stress testing to participate in all competitive sports."

All sports = reasonable

(Class IIa Recommendation; Level of Evidence C)

Evidence of ischemia, or prior MI

"It is reasonable to restrict athletes with myocardial bridging of an epicardial coronary artery and objective evidence of myocardial ischemia or prior myocardial infarction to sports with low to moderate dynamic and low to moderate static demands."

Low to moderate dynamic & low to moderate static sports = reasonable

(Class IIa Recommendation; Level of Evidence C)

Surgical resection or stenting

"It is reasonable to restrict athletes who have undergone surgical resection of the myocardial bridge or stenting of the bridge to low-intensity sports for 6 months after the procedure. If such athletes have no subsequent evidence of ischemia, they may participate in all competitive sports ."

First 6 months after procedure: Restrict to low-intensity sports

If no evidence of ischemia >6 months after procedure: All sports = reasonable

(Class IIa Recommendation; Level of Evidence C)

Reference: Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 8: Coronary Artery Disease. 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: LVEF = LV ejection fraction, MI = myocardial infarction