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Competitive sports participation in individuals with heart disease is controversial. In most published series, athletes who experienced sudden cardiac death typically had had underlying heart disease. This fact has driven calls for screening athletes with electrocardiography (ECG) and for restricting individuals with underlying heart disease from playing competitive sports.
Recently, the American College of Cardiology and American Heart Association updated their Scientific Statement regarding competitive sports participation for athletes with heart disease. This comprehensive document included 15 sections on multiple topics. Although the recommendations changed little from those in the 36th Bethesda Conference document published in 2005, the…