Pedi CardioRef
Reference: ACC/AHA Sports Participation Recommendations (Circulation 2015) Task Force 9: Arrhythmias and Conduction Defects

participate in organized sports?

Should my patient with AV Nodal Reentry Tachycardia, AV Reciprocating Tachycardia, or Atrial Tachycardia participate in organized sports?

EAT, AVNRT, AVRT, or WPW

Should perform:

"Athletes with regular, acute-onset SVTs should undergo cardiac assessment with ECG and echocardiogram."

(Class I Recommendation; Level of Evidence B)

Regular, acute-onset, symptomatic SVT

"The treatment of choice for athletes with regular, acute-onset, symptomatic SVTs should be catheter ablation."

Consider ablation

(Class I Recommendation; Level of Evidence C)

Short refractory period bypass tracts, h/o AF

"Athletes with short refractory period bypass tracts capable of anterograde conduction and a history of paroxysmal AF should have an ablation of the accessory pathway before clearance for competitive sports because of risk for life-threatening arrhythmias."

Should have ablation before clearance for sports

(Class I Recommendation; Level of Evidence B)

Asymptomatic preexcitation

"In athletes with asymptomatic preexcitation, it is reasonable to attempt risk stratification with stress testing to determine whether the preexcitation abruptly terminates at low heart rates. If low risk is unclear, it is reasonable to recommend invasive electrophysiological evaluation, with ablation of the bypass tract if it is deemed high risk for SCD because of a refractory period ≤250 ms."

Reasonable to do stress test. May consider EP study depending on stress test results.

(Class IIa Recommendation; Level of Evidence B)

Reference: Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 9. 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:EAT = ectopic atrial tachycardia, AVNRT = AV nodal reentrant tachycardia, AVRT = AV reciprocating tachycardia, WPW = Wolff-Parkinson-White, AF = atrial fibrillation, SVT = supraventricular tachycardia, SCD = sudden cardiac death, EP = electrophysiology