CardioRef: AHA/ACC 2015 Sports Participation Selector Guide: Right Bundle Branch Block

By the ACC/AHA 2015 guidelines, should my patient with participate in organized sports?

Should my patient with Complete Right Bundle Branch Block participate in organized sports?

Complete Right Bundle Branch Block (RBBB)

Should perform:

Echocardiogram (or other appropriate testing)
Exercise test

⇓

Asymptomatic, no type II second-degree AV block or complete heart block, no other heart disease

"Athletes with RBBB, who do not develop periods of type II second-degree AV block or complete heart block spontaneously or during exercise and who have no symptoms or heart disease identified by appropriate testing that otherwise precludes participation, can participate in all competitive athletics."

All sports = reasonable if conditions met

(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.