Protecting Young Hearts: Sports Clearance for Young Patients at Risk for Sudden Cardiac Death

This review explores the common causes, epidemiology, and up-to-date sports clearance recommendations for children and young adults who are at risk for sudden cardiac death (SCD). It addresses the variability in available exercise guidelines and emphasizes shared decision-making and preparedness plans to aid in return to play strategies.

New data comparing SCD at rest versus during sports has led to updated guidelines emphasizing a patient-centered approach to sports participation and requiring a team-based approach to balance the risk and benefits for the young athlete.

SCD is a rare but tragic event in young athletes and is caused by a variety of conditions such as left-sided obstructive disease, myocarditis, coronary artery anomalies, cardiomyopathies, and more. Emphasizing the importance of tailored sports recommendations that consider genetic, physiologic, or hemodynamic risk profiles, along with shared decision-making models of care are critical for pediatric patients.