CardioRef: AHA/ACC 2015 Sports Participation Selector Guide: Transposition of the Great Arteries, s/p Mustard or Senning, atrial switch

Need to perform:

Clinical assessment
ECG
Imaging of ventricular function
Exercise testing

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

(Class I Recommendation; Level of Evidence B)

Without arrhythmias, ventricular dysfunction, exercise intolerance, or exercise-induced ischemia

"Athletes without clinically significant arrhythmias, ventricular dysfunction, exercise intolerance, or exercise-induced ischemia may be considered for participation in low- and moderate-intensity competitive sports (classes IA, IB, IIA, and IIB)."

Can consider Class IA, IB, IIA, and IIB sports.

(Class IIb Recommendation; Level of Evidence C)

Arrhythmias or severe ventricular dysfunction

"Participation in competitive sports in those athletes with a history of clinically significant arrhythmias or severe ventricular dysfunction may be considered on an individual basis based on clinical stability."

Consider on an individual basis

(Class IIb Recommendation; Level of Evidence C)

Severe RV dysfunction, severe RVOTO, or recurrent/uncontrolled arrhythmias

"Athletes with severe clinical systemic RV dysfunction, severe RV outflow tract obstruction, or recurrent or uncontrolled atrial or ventricular arrhythmias should be restricted from all competitive sports, with the possible exception of low-intensity (class IA) sports."

Restricted from all competitive sports, with the possible exception of IA sports

(Class III Recommendation; Level of Evidence C)

Reference: Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities. A Scientific Statement From the AHA and ACC. Circulation 2015

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