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Devices and Athletics: Decision-Making Around Return to Play
1Section of Cardiovascular Medicine, Yale School of Medicine, 789 Howard Avenue, Dana 319, New Haven, CT 06520, USA.
Cardiology Clinics
|November 11, 2022
Summary
Athletes with implantable cardioverter defibrillators (ICDs) can safely participate in competitive sports. Registry data shows sports participation did not increase shock frequency or cause sports-related deaths, allowing many athletes to continue activity.
Area of Science:
- Cardiology
- Sports Medicine
- Electrophysiology
Background:
- Implantable cardioverter defibrillators (ICDs) were historically contraindicated for competitive athletics.
- Concerns existed regarding the safety of ICDs during strenuous physical activity.
Purpose of the Study:
- To evaluate the safety of competitive sports participation in athletes with ICDs.
- To determine if sports participation increases shock events or adverse outcomes.
Main Methods:
- Prospective observational registry study.
- Involved 440 athletes with ICDs participating in sports.
- Median follow-up of 44 months.
Main Results:
- Sports participation was found to be safe.
- Shock frequency during sports was not higher than during other activities.
- No sports-related deaths or need for external resuscitation occurred in the cohort.
Conclusions:
- Athletes with ICDs can safely engage in competitive sports.
- Optimized device settings, medical therapies, and emergency action plans are crucial.
- Current data supports reconsidering previous contraindications for athletic activity.
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