Need to know:
Asymptomatic, no spontaneous type II second-degree AV block or complete heart block
"Athletes with permanent or rate-dependent LBBB who do not develop spontaneous type II second-degree AV block (Mobitz) or complete heart block and who have no symptoms or heart disease identified by appropriate testing that otherwise precludes participation, can participate in all competitive athletics."
(Class I Recommendation; Level of Evidence C)
Symptoms
"In athletes with concerning symptoms, an EPS is recommended. An athlete with a normal HV interval and a normal AV conduction response to pacing can participate in all competitive sports unless otherwise restricted by their structural heart disease."
(Class I Recommendation; Level of Evidence C)
Abnormal AV conduction (HV interval >90 ms or His-Purkinje block)
"Athletes with abnormal AV conduction characterized by an HV interval >90 ms or a His-Purkinje block should have pacemaker implantation."
(Class I Recommendation; Level of Evidence C)
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: EPS = Electrophysiology study, LBBB = left bundle branch block