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Sports_Afib_Overview.html
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Sports_Afib_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: Atrial Fibrillation</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</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>Atrial Fibrillation</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_Afib_Overview.html" class="active">Atrial Fibrillation</a>
<a href="Sports_Aflutter_Overview.html" >Atrial Flutter</a>
<a href="Sports_SVT_Overview.html" >EAT, AVNRT, AVRT, & WPW</a>
<a href="Sports_PVC_Overview.html" >PVCs</a>
<a href="Sports_NSVT_Overview.html">Non-sustained ventricular tachycardia (NSVT)</a>
<a href="Sports_VT_mono_Overview.html">Monomorphic VT, sustained</a>
<a href="Sports_VT_poly_Overview.html">Polymorphic VT or VF, sustained</a>
</nav>
<div class="largeanswerbox">
<h2 align=center>Atrial Fibrillation</h2>
<hr>
<section id="needtoknow">
<p class="sectiontitle">Should have workup including:</p>
<ul>
<li>ECG</li>
<li>Echocardiogram</li>
<li>TFTs</li>
<li>Query for drug use</li>
</ul>
<p>"Athletes with AF should undergo a workup that includes thyroid function tests, queries for drug use,
ECG, and echocardiogram (Class I Recommendation; Level of Evidence B)."</p>
</section>
<p></p>
<hr width="70%">
<section id="answer">
<section class="third_left">
<p class="sectiontitle">Low risk AF, well tolerated, self-terminating</p>
<p>"Athletes with low-risk AF that is well tolerated and self-terminating may participate in
all competitive sports without therapy."
</p>
<div class="verdict_ok"><b>Can participate in all sports without therapy</b></div>
<p class="rec_class">Class I Recommendation; Level of Evidence C</p>
</section>
<section class="third_middle">
<p class="sectiontitle">On antithrombotic therapy other than ASA</p>
<p>"In athletes with AF, when antithrombotic therapy, other than aspirin, is indicated,
it is reasonable to consider the bleeding risk in the context of the specific sport before clearance."
</p>
<div class="verdict_maybe"><b>Consider bleeding risk before clearance</b></div>
<p class="rec_class">Class IIa Recommendation; Level of Evidence C</p>
</section>
<section class="third_right">
<p class="sectiontitle">Ablation candidate</p>
<p>"Catheter ablation for AF could obviate the need for rate control or antiarrhythmic drugs and
should be considered."
</p>
<div class="verdict_maybe"><b>Consider ablation for AF</b></div>
<p class="rec_class">Class IIa Recommendation; Level of Evidence B</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.</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 <i>not</i> part of the original published guidelines.
Please consult a physician to discuss any patient-specific matters.
</p>
<section class="key">
<p><b>Key: </b>AF = atrial fibrillation, ECG = electrocardiogram, TFT = thyroid function tests, ASA = aspirin
</p>
</section>
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