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

participate in organized sports?

Should my patient with D-Transposition of the Great Arteries, s/p arterial switch participate in organized sports?

Need to perform:

"It is recommended that before participation in competitive sports, athletes who have undergone the arterial switch procedure for TGA should undergo evaluation that includes clinical assessment, ECG, imaging assessment of ventricular function, and exercise testing."

(Class I Recommendation; Level of Evidence B)

⇙
⇓
⇘

Asymptomatic, normal function, no tachyarrhythmias

"It is reasonable for athletes with no cardiac symptoms, normal ventricular function, and no tachyarrhythmias after the arterial switch procedure for TGA to participate in all competitive sports."

All sports = reasonable

(Class IIb Recommendation; Level of Evidence C)

More than mild hemodynamic abnormalities or ventricular dysfunction, normal exercise test

"After the arterial switch procedure for TGA, athletes with more than mild hemodynamic abnormalities or ventricular dysfunction may be considered for participation in low and moderate static/low dynamic competitive sports (classes IA, IB, IC, and IIA), provided that exercise testing is normal."

Consider Class IA, IB, IC, IIA, if exercise test normal

(Class IIb Recommendation; Level of Evidence C)

Evidence of coronary ischemia

"After the arterial switch procedure for TGA, athletes with evidence of coronary ischemia should be restricted from all competitive sports, with the possible exception of low-intensity (class IA) sports."

Restricted from all sports, with possible exception of IA sports (bowling, cricket, curling, golf, riflery, yoga)

(Class III Recommendation; Level of Evidence B)

Reference: Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities. Task Force 4: Congenital Heart Disease. 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: TGA = transposition of the great arteries, ECG = electrocardiogram, LV = left ventricle, RV = right ventricle, s/p = status post