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 Sinus Bradycardia, Sinus Exit Block, Sinus Pauses, and Sinus Arrhythmia participate in organized sports?

Sinus Bradycardia, Sinus Exit Block, Sinus Pauses, Sinus Arrhythmia

Need to know:

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No symptoms

"Athletes with sinus bradycardia, sinus exit block, sinus pauses, and sinus arrhythmia without symptoms can participate in all competitive athletic activities unless otherwise excluded by underlying structural heart disease or other arrhythmias."

All sports = acceptable
(if not excluded by structural disease or other arrhythmia)

(Class I Recommendation; Level of Evidence C)

Symptoms

"Athletes with symptomatic bradycardia should be evaluated for structural heart disease and be treated for the bradycardia, generally by an implanted pacemaker. They should be restricted from training and athletic competition while being evaluated.

If treatment of the bradycardia eliminates symptoms, they can participate in athletic training and competition unless otherwise excluded by structural heart disease or other arrhythmias."

Treat bradycardia --> If symptoms elimintated, can participate
(if not expluded by structural disease or other arrhythmia)

(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.

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