Need to perform:
"Before participation in competitive sports, it is recommended that all athletes with repaired tetralogy of Fallot should undergo evaluation, including clinical assessment, ECG, imaging assessment of ventricular function, and exercise testing."
(Class I Recommendation; Level of Evidence B)
Normal function, no arrhythmia, no outflow tract obstruction
"Athletes without significant ventricular dysfunction (EF >50%), arrhythmias, or outflow tract obstruction may be considered for participation in moderate- to high-intensity sports (class II–III). To meet these criteria, the athlete must be able to complete an exercise test without evidence of exercise-induced arrhythmias, hypotension, ischemia, or other concerning clinical symptoms."
(Class IIb Recommendation; Level of Evidence B)
Ventricular dysfunction, outflow tract obstruction, or recurrent arrhythmias
"Athletes with severe ventricular dysfunction (EF < 40%), severe 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."
(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:ECG = electrocardiogram, EF = ejection fraction