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Brief recommendations for participation in leisure time or competitive sports in athletes-patients with coronary artery disease: Summary of a Position Statement from the Sports Cardiology Section of the European Association of Preventive Cardiology (EAPC)

Journal article
Authors Mats Börjesson
Mikael Dellborg
J. Niebauer
A. LaGerche
C. Schmied
E. E. Solberg
M. Halle
P. E. Adami
A. Biffi
F. Carre
S. Caselli
M. Papadakis
A. Pressler
H. Rasmusen
L. Serratosa
S. Sharma
F. van Buuren
A. Pelliccia
Published in European Journal of Preventive Cardiology
ISSN 2047-4873
Publication year 2019
Published at Institute of Neuroscience and Physiology
Department of Food and Nutrition, and Sport Science
Language en
Keywords Coronary artery disease, athletes, sports participation, recommendations, american-heart-association, optimal medical therapy, physical-activity, scientific statement, sudden-death, exercise, management, risk, intervention, individuals, Cardiovascular System & Cardiology
Subject categories Cardiovascular medicine


This paper presents a brief summary of the recommendations from the Sports Cardiology section of the European Association of Preventive Cardiology (EAPC) on sports-participation in patients with coronary artery disease, coronary artery anomalies or spontaneous dissection of the coronary arteries, all entities being associated with myocardial ischaemia.1 Given the wealth of evidence supporting the benefits of exercise for primary and secondary prevention of coronary artery disease, individuals should be restricted from competitive sport only when a substantial risk of adverse event or disease progression is present. These recommendations aim to encourage regular physical activity including participation in sports and, with reasonable precaution, ensure a high level of safety for all individuals with coronary artery disease. The present document is based on available current evidence, but in most instances because of lack of evidence, also on clinical experience and expert opinion.

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