Pedi CardioRef
Reference: ACC/AHA Sports Participation Recommendations (Circulation 2015) Task Force 3: Hypertrophic Cardiomyopathy, Arrhythmogenic RV Cardiomyopathy and other Cardiomyopathies, and Myocarditis (Circulation 2015)

participate in organized sports?

Should my patient with Left Ventricular Non-Compaction participate in competitive sports?

Need to know:

LV dysfunction, arrhythmias, or syncope

"Athletes with an unequivocal diagnosis of LVNC and impaired systolic function or important atrial or ventricular tachyarrhythmias on ambulatory monitoring or exercise testing (or with a history of syncope) should not participate in competitive sports, with the possible exception of low-intensity class 1A sports, at least until more clinical information is available."

Class IA sports: Bowling, Cricket, Curling, Golf, Riflery, Yoga = Likely Acceptable

Non-Class IA = Inadvisable

(Class III Recommendation; Level of Evidence C)

Normal LV function, no arrhythmias, no syncope

"Until more clinical information is available, participation in competitive sports may be considered for asymptomatic patients with a diagnosis of LVNC and normal systolic function, without important ventricular tachyarrhythmias on ambulatory monitoring or exercise testing, and specifically with no prior history of unexplained syncope."

Competitive Sports = Maybe (see conditions above)

(Class IIb Recommendation; Level of Evidence C)



Reference: Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 3: Hypertrophic Cardiomyopathy, Arrhythmogenic Right Ventricular Cardiomyopathy and Other Cardiomyopathies, and Myocarditis. 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: LV = left ventricle, LVNC = left ventricular non-compaction