Pedi CardioRef
Reference: ACC/AHA Sports Participation Recommendations (Circulation 2015) Task Force 4: Congenital Heart Disease

participate in organized sports?

Should my patient with pulmonary valve stenosis participate in organized sports?

Need to know:

Mild PS, normal RV function

"Athletes with mild PS and normal RV function can participate in all competitive sports. Annual reevaluation is also recommended."

All sports = acceptable. Annual reevaluation recommended.

(Class I Recommendation;
Level of Evidence B)

PS gradient < 40mmHg s/p procedure

"Athletes treated by operation or balloon valvuloplasty who have achieved adequate relief of PS (gradient < 40 mm Hg by Doppler) can participate in all competitive sports."

All sports = acceptable. Annual reevaluation recommended.

(Class I Recommendation;
Level of Evidence B)

Moderate/severe PS

"Athletes with moderate or severe PS can consider participation only in low-intensity class IA and IB sports."

May consider only low-intensity class 1A sports (bowling, cricket, curling, gold, riflery, yoga) or 1B sports (baseball/softball, fencing, table tennis, volleyball).

(Class IIb Recommendation;
Level of Evidence B)

Severe PI

"Athletes with severe pulmonary insufficiency as demonstrated by marked RV enlargement can consider participation in low-intensity class IA and IB sports."

May consider only low-intensity class 1A sports (bowling, cricket, curling, gold, riflery, yoga) or 1B sports (baseball/softball, fencing, table tennis, volleyball).

(Class IIb Recommendation;
Level of Evidence B)



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: RV = right ventricle, PI = pulmonary insufficiency, PS = pulmonary stenosis, echo = echocardiogram