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Sports_SinusBrady_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: Sinus Bradycardia</title>
<link rel="stylesheet" href="css/sports_answer_combined.css">
<style>
div{
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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>Sinus Bradycardia, Sinus Exit Block, Sinus Pauses, and Sinus Arrhythmia</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" class="active">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">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>Sinus Bradycardia, Sinus Exit Block, Sinus Pauses, Sinus Arrhythmia</h2>
<hr>
<section id="needtoknow">
<p class="sectiontitle">Need to know:</p>
<ul>
<li>Symptomatic?</li>
</ul>
</section>
<section id="answer_arrow_section">
<section class="half_left_invisible">⇙</section>
<section class="half_right_invisible">⇘</section>
</section>
<section id="answer">
<section class="half_left">
<p class="sectiontitle">No symptoms</p>
<p>"Athletes with sinus bradycardia, sinus exit block, sinus pauses, and sinus arrhythmia
without symptoms can participate in all competitive athletic activities
unless otherwise excluded by underlying structural heart disease or other arrhythmias."
</p>
<div class="verdict_ok"><b>All sports = acceptable</b> <br>(if not excluded by structural disease or other arrhythmia)</div>
<p class="rec_class"> (Class I Recommendation; Level of Evidence C)</p>
</section>
<section class="half_right">
<p class="sectiontitle">Symptoms</p>
<p>"Athletes with symptomatic bradycardia should be evaluated for structural heart disease
and be treated for the bradycardia, generally by an implanted pacemaker.
They should be restricted from training and athletic competition while being evaluated.
</p><p>
If treatment of the bradycardia eliminates symptoms,
they can participate in athletic training and competition unless
otherwise excluded by structural heart disease or other arrhythmias."
</p>
<div class="verdict_maybe"><b>Treat bradycardia</b> --> <b>If symptoms elimintated, can participate</b><br>(if not expluded by structural disease or other arrhythmia)</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:</b>
</p>
</section>
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