2024 HRS expert consensus statement on arrhythmias in the athlete: Evaluation, treatment, and return to play

Rachel Lampert, Eugene H. Chung, Michael J. Ackerman, Alonso Rafael Arroyo, Douglas Darden, Rajat Deo, Joe Dolan, Susan P. Etheridge, Belinda R. Gray, Kimberly G. Harmon, Cynthia A. James, Jonathan H. Kim, Andrew D. Krahn, Andre La Gerche, Mark S. Link, Ciorsti MacIntyre, Lluis Mont, Jack C. Salerno, Maully J. Shah

Research output: Contribution to journalArticlepeer-review

Abstract

Youth and adult participation in sports continues to increase, and athletes may be diagnosed with potentially arrhythmogenic cardiac conditions. This international multidisciplinary document is intended to guide electrophysiologists, sports cardiologists, and associated health care team members in the diagnosis, treatment, and management of arrhythmic conditions in the athlete with the goal of facilitating return to sport and avoiding the harm caused by restriction. Expert, disease-specific risk assessment in the context of athlete symptoms and diagnoses is emphasized throughout the document. After appropriate risk assessment, management of arrhythmias geared toward return to play when possible is addressed. Other topics include shared decision-making and emergency action planning. The goal of this document is to provide evidence-based recommendations impacting all areas in the care of athletes with arrhythmic conditions. Areas in need of further study are also discussed.

Original languageEnglish (US)
Pages (from-to)e151-e252
JournalHeart Rhythm
Volume21
Issue number10
DOIs
StatePublished - Oct 2024

Keywords

  • Arrhythmogenic diseases
  • athletes
  • electrophysiology
  • emergency action plans
  • return to play
  • risk assessment
  • shared decision-making
  • sports cardiology
  • sudden cardiac arrest
  • sudden cardiac death

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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