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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Comparison of the Frequency of Atrial Fibrillation in Young Obese Versus Young Nonobese Men Undergoing Examination for Fitness for Military Service
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WPW Pattern in the Asymptomatic Individual
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Outcomes of Pulmonary Vein Isolation in Athletes
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Incidence of Cardiac Arrest During Sports Among Women in the European Union
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Incidence of Sudden Cardiac Arrest and Death in Young Athletes and Military Members: A Systematic Review and Meta-Analysis
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Inpatient detection of cardiac-inherited disease: the impact of improving family history taking
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Long-Term Anabolic Androgenic Steroid Use Is Associated with Increased Atrial Electromechanical Delay in Male Bodybuilders
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Right ventricular strain rate during exercise accurately identifies male athletes with right ventricular arrhythmias
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Regulation of sinus node pacemaking and atrioventricular node conduction by HCN channels in health and disease
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Historical observation on commotio cordis
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Impact of Exercise on Outcomes and Phenotypic Expression in Athletes With Nonobstructive Hypertrophic Cardiomyopathy
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Syncope as a Warning Symptom of Sudden Cardiac Death in Athletes
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Repeatability of ventricular arrhythmia characteristics on the exercise-stress test in RYR2-mediated catecholaminergic polymorphic ventricular tachycardia
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Diagnostic yield of an ambulatory patch monitor in patients with unexplained syncope after initial evaluation in the emergency department: the PATCH-ED study
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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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