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Sports_VT_mono_Overview.html
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Sports_VT_mono_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: Monomorphic Ventricular Tachycardia</title>
<link rel="stylesheet" href="css/sports_answer_combined.css">
<style>
div{
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<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>Monomorphic Ventricular Tachycardia</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" >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" class="active">Monomorphic VT, sustained</a>
<a href="Sports_VT_poly_Overview.html">Polymorphic VT or VF, sustained</a>
</nav>
<div class="largeanswerbox">
<h2 align=center>Sustained Monomorphic Ventricular Tachycardia</h2>
<hr>
<section id="needtoknow">
<p class="sectiontitle">Need to know:</p>
<ul>
<li>Structrually normal heart?</li>
<li>How long since last VT episode? (> 3 months?)</li>
<li>Successful ablation?</li>
<li>Suppression with medications?</li>
</ul>
</section>
<section id="answer_arrow_section">
<section class="third_invisible">⇙</section>
<section class="third_invisible">⇓</section>
<section class="third_invisible">⇘</section>
</section>
<section id="answer">
<section class="third_left">
<p class="sectiontitle">Structrually normal heart, s/p ablation, free of VT >3 months later</p>
<p>"Athletes with structurally normal hearts and monomorphic sustained VT amenable to catheter ablation
who undergo ablation and remain free of spontaneous or induced VT at least 3 months after the procedure
can resume full competitive activities."
</p>
<div class="verdict_ok"><b>Can resume all sports</b> if above conditions met</div>
<p class="rec_class">(Class I Recommendation; Level of Evidence C)</p>
</section>
<section class="third_middle">
<p class="sectiontitle">Structrually normal heart, suppression with medications</p>
<p>"Athletes with structurally normal hearts and monomorphic sustained VT who elect to undergo
drug suppression with pharmacological therapy should not compete in any sports for at
least 3 months after the last VT episode. In the absence of clinical recurrences or
inducibility of the arrhythmia by exercise/exercise testing or EPS, all competitive sports may then be permitted."
</p>
<div class="verdict_no"><b>No sports for at least 3 months after last VT episode</b></div><br>
<div class="verdict_ok"><b>If no recurrence/inducibility by exercise testing or EP study (> 3 months later), may resume sports</b></div>
<p class="rec_class"> (Class I Recommendation; Level of Evidence C)</p>
</section>
<section class="third_middle">
<p class="sectiontitle">Structural heart disease</p>
<p>"For the athlete with structural heart disease and sustained monomorphic VT, moderate- and high-intensity competition
is contraindicated regardless of apparent therapeutic response, although participation in low-intensity
class IA competitive sports is permitted."
</p>
<div class="verdict_ok"><b>IA sports only</b> regardless of apparent suppression of VT</div><br>
<div class="verdict_no"><b>Moderate- and high-intensity competition is contraindicated</b></div>
<p class="rec_class">(Class III 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.</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:</b> VT = ventricular tachycardia, EPS = electrophysiology study
</p>
</section>
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