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Sports_AVB_complete_acquired_Overview.html
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Sports_AVB_complete_acquired_Overview.html
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<!DOCTYPE html>
<html lang="en">
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<meta name="viewport" content="width=device-width, initial-scale=1" />
<head>
<meta charset="UTF-8">
<title>CardioRef: AHA/ACC 2015 Sports Participation Selector Guide: Acquired Complete AV Block</title>
<link rel="stylesheet" href="css/sports_answer_combined.css">
<style>
div{
-webkit-margin-before:0;
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</head>
<body>
<div class="topbar">
<a href="index.html">Pedi CardioRef</a>
<div class="guidelinebar">
<a target="_blank" rel="noopener noreferrer" href="https://www.ahajournals.org/doi/10.1161/CIR.0000000000000245">
Reference: ACC/AHA Sports Participation Recommendations (Circulation 2015) Task Force 9: Arrhythmias and Conduction Defects</a>
</div>
</div>
<section style="margin:10px">
<p class="topspace"></p>
<label><b>By the ACC/AHA 2015 guidelines, should my patient with</label>
<select name="disease" id="dz" class="InputBox" onChange="goThere();">
<option value="">*Select Disease*</option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="HCM">Hypertrophic Cardiomyopathy </option>
<option value="LVNC">Left Ventricular Non-Compaction </option>
<option value="DilRestr">Dilated or Restrictive Cardiomyopathy </option>
<option value="ARVC">Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) </option>
<option value="Myo">Myocarditis </option>
<option value="Peri">Pericarditis </option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="ASDVSDPDA">ASD, VSD, or PDA </option>
<option value="PS">Pulmonic Stenosis </option>
<option value="AS">Aortic Stenosis </option>
<option value="Coarct">Coarctation </option>
<option value="Cyan">Cyanotic Heart Disease, unrepaired or with palliative shunt </option>
<option value="TOF">Tetralogy of Fallot, s/p repair </option>
<option value="TGA_Must">d-transposition (d-TGA), s/p atrial switch (Mustard/Senning)</option>
<option value="TGA_Art">d-transposition (d-TGA), s/p arterial switch </option>
<option value="CCTGA">Congenitally-corrected TGA (CC-TGA, L-TGA)</option>
<option value="Fontan">Fontan </option>
<option value="Ebstein">Ebstein Anomaly </option>
<option value="AnomCoronary">Anomalous Coronary Artery Origin</option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="PVR">Elevated PVR in CHD </option>
<option value="VentricularDysfxn">Ventricular Dysfunction s/p CHD Surgery</option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="Valve_AS">Aortic Stenosis</option>
<option value="Valve_AR">Aortic Regurgitation </option>
<option value="Valve_MS">Mitral Stenosis</option>
<option value="Valve_MR">Mitral Regurgitation </option>
<option value="Valve_Hx">History of Mitral or Aortic Valve Surgery</option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="HTN">Hypertension </option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="AoDiseases_and_Marfan">Aortic Diseases and Marfan Syndrome</option>
<option value="BAV">Bicuspid Aortic Valve</option>
<option value="Marfan">Marfan Syndrome</option>
<option value="TAA">Thoracic Aortic Aneurysm, familial or unexplained</option>
<option value="LoeysDietz_EhlersDanlos">Loeys-Dietz or vascular Ehlers-Danlos</option>
<option value="AoEnlarge">Enlarged Aorta, non-syndrome non-familial</option>
<option value="Ao_Surgery">S/p Surgery for Aortic Enlargement/Dissection</option>
<option value="Chronic_AoDissection">Chronic Aortic Dissection or Branch Aneurysm</option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="CoronaryOverview">Coronary Artery Disease </option>
<option value ="" class="dropdown-divider">---------------------------------------------------------------</option>
<option value="Syncope">Syncope </option>
<option value="Arrhythmia">Arrhythmias (SVT, PVC, Vtach, etc.) </option>
<option value="ConductionDefect">Conduction Defects (AV block, brady, pacemaker, RBBB/LBBB)</option>
<option value="Channelopathies">Channelopathies (LQTS, CPVT, Brugada, etc.) </option>
<option value="ICD">Implantable Cardioverter-Defibrillator (ICD) </option>
</select>
<span>participate in organized sports?</span></b>
<br><br>
<section id="question">
Should my patient with <b>Acquired Complete AV Block</b> participate in organized sports?
</section>
</section>
<!-- End of 10px margin section. Consider changing template. -->
<br>
<!-- navigation bar for disease sub-categories -->
<nav>
<a href="Sports_Pacemaker_Overview.html">Permanent pacemaker</a>
<a href="Sports_SinusBrady_Overview.html">Sinus bradycardia</a>
<a href="Sports_AVB_1_Overview.html">1st-degree AV block</a>
<a href="Sports_AVB_2_Type1_Overview.html">2nd-degree AV block, Type 1 (Wenckebach)</a>
<a href="Sports_AVB_2_Type2_Overview.html">2nd-degree AV block, Type 2</a>
<a href="Sports_AVB_complete_congen_Overview.html">Congenital high-grade or complete AV block</a>
<a href="Sports_AVB_complete_acquired_Overview.html" class="active">Acquired complete AV block</a>
<a href="Sports_RBBB_Overview.html">Complete RBBB</a>
<a href="Sports_LBBB_Overview.html">Complete LBBB</a>
</nav>
<div class="largeanswerbox">
<h2 align="center"><u>Acquired</u> Complete AV Block</h2>
<hr>
<section id="needtoknow">
<p class="sectiontitle">Need to know:</p>
<ul>
<li>Reversible cause of AV block?</li>
<li>Structrual heart disease?</li>
</ul>
</section>
<section id="answer">
<section id="answer_arrow_section">
<section class="half_left_invisible">⬋</section>
<section class="half_right_invisible">⬊</section>
</section>
<section class="half_left">
<p class="sectiontitle">No structrual heart disease</p>
<p>"Athletes with acquired complete heart block should have a permanent pacemaker placed <u>regardless of</u> symptoms,
type of structural heart disease, and exercise capacity
unless the heart block is attributable to completely reversible causes and resolves completely."
</p>
<div class="verdict_no"><b>Should have permanent pacemaker</b></div>
<p class="rec_class">(Class I Recommendation; Level of Evidence C)</p>
</section>
<section class="half_right">
<p class="sectiontitle">Structrual heart disease</p>
<p>"Athletes with structural heart disease and acquired complete heart block should be restricted from,
or allowed to participate in, athletic activities based on the recommendations for the
type of structural heart disease."
</p>
<div class="verdict_maybe"><b>Based on structural heart disease</b></div>
<p class="rec_class">(Class I Recommendation; Level of Evidence C)</p>
</section>
<section class="half_left_invisible_alone">⇓</section>
<section class="half_left">
<p class="sectiontitle">Patient with permanent pacemaker</p>
<p>"Before athletes with a permanent pacemaker are allowed to engage in athletic activities,
an exercise test should be conducted to ensure that the exercise capacity of the athlete is
similar to that required by the relevant sport."
</p>
<div class="verdict_maybe"><b>Should get exercise test</b></div>
<p class="rec_class">(Class I Recommendation; Level of Evidence C)</p>
</section>
</section>
</div>
<p class="foot">
<b>Reference:</b> <a href="https://www.ahajournals.org/doi/10.1161/CIR.0000000000000245"><i>Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 9: Arrhythmias and Conduction Defects.</a>
A Scientific Statement From the AHA and ACC. Circulation 2015</i>
<br><br><b>Disclaimer:</b> This website is derived from published guidelines, but does not constitute medical advice nor does it replace clinical judgement. Only the text in quotation marks are direct quotations from the original guidelines. Text not in quotations as well as the method of information display are all that of the website creator and are not part of the original published guidelines. Please consult a physician to discuss any patient-specific matters.
</p>
<section class="key">
<p><b>Key: AV = atrioventricular</b>
</p>
</section>
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