Cited by 167Cardiovascular Effects of ExerciseCardiac electrophysiology and arrhythmiasCardiac Arrhythmias and Treatments

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

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Lampert, Rachel, Chung, Eugene H., Ackerman, Michael J., Arroyo, Alonso Rafael, Darden, Douglas, Deo, Rajat, Dolan, Joe, Etheridge, Susan P., Gray, Belinda R., Harmon, Kimberly G., James, Cynthia A., Kim, Jonathan H., Krahn, Andrew D., La Gerche, Andre, Link, Mark S., MacIntyre, Ciorsti, Mont, Lluis, Salerno, Jack C., Shah, Maully J.·2024·Heart Rhythm

DOI 10.1016/j.hrthm.2024.05.018

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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.

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Nontraumatic sports death in high school and college athletes
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2023 HRS/APHRS/LAHRS guideline on cardiac physiologic pacing for the avoidance and mitigation of heart failure
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Clinical Outcomes of His Bundle Pacing Compared to Right Ventricular Pacing
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The CONNECT (Clinical Evaluation of Remote Notification to Reduce Time to Clinical Decision) Trial
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Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation
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National Athletic Trainers' Association Position Statement: Fluid Replacement for the Physically Active
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Age- and Training-Dependent Development of Arrhythmogenic Right Ventricular Cardiomyopathy in Heterozygous Plakoglobin-Deficient Mice
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Cardiovascular Toxicity of Illicit Anabolic-Androgenic Steroid Use
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Reversal of Cardiomyopathy in Patients With Repetitive Monomorphic Ventricular Ectopy Originating From the Right Ventricular Outflow Tract
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Nationwide study of sudden cardiac death in persons aged 1–35 years
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Permanent His-bundle pacing is feasible, safe, and superior to right ventricular pacing in routine clinical practice
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Association Between Midwall Late Gadolinium Enhancement and Sudden Cardiac Death in Patients With Dilated Cardiomyopathy and Mild and Moderate Left Ventricular Systolic Dysfunction
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Randomized Trial of Left Bundle Branch vs Biventricular Pacing for Cardiac Resynchronization Therapy
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Relation of vigorous exercise to risk of atrial fibrillation
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Multicenter Outcomes for Catheter Ablation of Idiopathic Premature Ventricular Complexes
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PACES/HRS Expert Consensus Statement on the Management of the Asymptomatic Young Patient with a Wolff-Parkinson-White (WPW, Ventricular Preexcitation) Electrocardiographic Pattern
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Radiofrequency Catheter Ablation for Tachyarrhythmias in Children and Adolescents
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Sudden cardiac death in young people with apparently normal heart
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Clinical Profile and Spectrum of Commotio Cordis
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Prospective Assessment after Pediatric Cardiac Ablation:
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Improved Survival After Out-of-Hospital Cardiac Arrest and Use of Automated External Defibrillators
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The long QT syndrome: a transatlantic clinical approach to diagnosis and therapy
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Use of an Extended Monitoring Strategy in Patients With Problematic Syncope
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“Cardioneuroablation” – new treatment for neurocardiogenic syncope, functional AV block and sinus dysfunction using catheter RF-ablation
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Sinus node disease and arrhythmias in the long-term follow-up of former professional cyclists
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Incidence and Causes of Sudden Death in U.S. College Athletes
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Ventricular Ectopy as a Predictor of Heart Failure and Death
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A randomized trial of long-term remote monitoring of pacemaker recipients (The COMPAS trial)
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Response of recurrent sustained ventricular tachycardia to verapamil.
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Left cardiac sympathetic denervation for the treatment of long QT syndrome and catecholaminergic polymorphic ventricular tachycardia using video-assisted thoracic surgery
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Outcome in Dilated Cardiomyopathy Related to the Extent, Location, and Pattern of Late Gadolinium Enhancement
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Frequent Ventricular Ectopy after Exercise as a Predictor of Death
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Permanent His-bundle pacing: Long-term lead performance and clinical outcomes
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Outcomes of Cardiac Screening in Adolescent Soccer Players
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SCN5A Mutations and the Role of Genetic Background in the Pathophysiology of Brugada Syndrome
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Idiopathic Ventricular Arrhythmias Originating From the Left Ventricular Summit
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Long-term endurance sport practice increases the incidence of lone atrial fibrillation in men: a follow-up study
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Nonischemic Left Ventricular Scar as a Substrate of Life-Threatening Ventricular Arrhythmias and Sudden Cardiac Death in Competitive Athletes
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See all 167

Authors: Lampert, R., Chung, E. H., Ackerman, M. J., Arroyo, A. R., Darden, D., Deo, R., Dolan, J., Etheridge, S. P., Gray, B. R., Harmon, K. G., James, C. A., Kim, J. H., Krahn, A. D., La Gerche, A., Link, M. S., MacIntyre, C., Mont, L., Salerno, J. C., & Shah, M. J.
Affiliations: Yale University (US)
Harvard University (US)
Mayo Clinic (US)
Kansas City Heart Rhythm Institute (US)
University of Pennsylvania (US)
University of Utah (US)
The University of Sydney (AU)
University of Washington (US)
Johns Hopkins University (US)
Emory University (US)
University of British Columbia (CA)
The University of Texas Southwestern Medical Center (US)
Children's Hospital of Philadelphia (US)
ORCID: Lampert, Rachel
Chung, Eugene H.
Ackerman, Michael J.
Darden, Douglas
Deo, Rajat
Etheridge, Susan P.
Gray, Belinda R.
Harmon, Kimberly G.
James, Cynthia A.
Kim, Jonathan H.
Krahn, Andrew D.
Link, Mark S.
MacIntyre, Ciorsti
Shah, Maully J.
Venue: Heart Rhythm
Publisher: Elsevier BV
Published: 2024-10
Volume: 21
Issue: 10
Pages: e151-e252
ISSN: 1547-5271 (ISSN-L)
DOI: 10.1016/j.hrthm.2024.05.018
OpenAlex: W4397024284
Cited by: 167
References: 711
Citations by year: 2026: 83 · 2025: 66 · 2024: 18
FWCI: 50.39
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Heart Rhythm (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
Keywords: athlete's heart, arrhythmogenic cardiomyopathy, sudden cardiac death in athletes, risk assessment, return to sport, shared decision-making, emergency action planning, sports cardiology, arrhythmia management
MeSH terms: Return to Sport, Arrhythmias, Cardiac, Humans, Sports Medicine, Death, Sudden, Cardiac, Risk Assessment, Consensus, Athletes

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

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