Arrhythmias in the Athlete: Evaluation, Treatment, and Return to Play Guidelines Pocket Guide - Guideline Central

Arrhythmias in the Athlete: Evaluation, Treatment, and Return to Play

Heart Rhythm SocietyPublished: October 4, 2024

A PDF version of this Pocket Guide is also available!
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  • Introduction
    • Top 10 Take-Home Messages
  • General Concepts and Principles
    • Clinical Considerations for Athletes With Arrhythmias
    • Shared Decision-making and Clinical Management Determination
    • Emergency Action Planning for Sudden Cardiac Arrest
  • Sudden Cardiac Arrest in Athletes
  • Commotio Cordis
  • Symptoms of Arrhythmias in Athletes
  • Ventricular Arrhythmias
  • Inherited Arrhythmias and Cardiomyopathies
  • Atrial Fibrillation
  • Wolff-Parkinson-White Pattern and Syndrome
  • Bradycardia and Pacemakers
  • Tables:
    • Definitions
    • Potential Arrhythmic Effects of Certain Stimulants and Performance-enhancing Drugs
    • Exercise-induced Cardiac Remodeling (Electrical and Structural)
    • Key Components of Emergency Action Plans
    • Noncardiac Causes of Loss of Consciousness
    • High-risk Features for Cardiac Syncope
    • Features of Ambulatory Monitors, Including External and Implantable Recorders
    • Risk Features From History and Tests Used to Identify Structural or Electrical Heart Disease
    • Association of Vigorous (>6 METs) Endurance Exercise With Clinical Outcomes in ACMs
    • WPW Pattern on ECG: Differences in the Class of Recommendation Between 4 Previously Published Expert Consensus Statements and this 2024 Expert Consensus Statement
  • Figures and Algorithms:
    • Expected Ventricular Adaptation from Static and Dynamic Stressors on the Heart
    • Model for Shared Decision-making for Athletes With Cardiovascular Disease
    • Coronary Artery Disease and Other Structural/Electrical Causes of Cardiac Death by Age (1999–2020)
    • Diagnostic Algorithm for the Evaluation of SCA in Athletes
    • Management of SCA in Athletes
    • Treatment of Sudden Cardiac Arrest Based on Disease Entity
    • Athlete-specific Advantages and Disadvantages of 4 Different Options for ICD Form Factors
    • Evaluation of Syncope During Exercise
    • Evaluation of Athletes With Ventricular Arrhythmias
    • Treatment of Athletes with Benign Ventricular Arrhythmias
    • Treatment of Athletes With Complex Ventricular Arrhythmias
    • Management and Treatment of Inherited Arrhythmias
    • Recommendations for Athletes With Inherited Cardiomyopathies Returning to Play
    • Flow Chart Demonstrating Approach to Families of Athletes With Genetic Heart Disease
    • Evaluation of Athletes Suspected of Having AF
    • Treatment of Wolff-Parkinson-White Pattern in Athletes
    • Return to Play in Athletes With Permanent Pacemakers


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