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J. Am. Coll. Cardiol. 2005;45;1316


doi:10.1016/j.jacc.2005.02.003

This information is current as of March 5, 2010

The online version of this article, along with updated information and services, is
located on the World Wide Web at:
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Journal of the American College of Cardiology


2005 by the American College of Cardiology Foundation
Published by Elsevier Inc.

Vol. 45, No. 8, 2005


ISSN 0735-1097/05/$30.00
doi:10.1016/j.jacc.2005.02.003

Table of Contents
Preamble .................................................................................1317
Introduction: Eligibility Recommendations for
Competitive Athletes With Cardiovascular Abnormalities
General Considerations.........................................................1318
Impetus for the Revision ...................................................1318
Definitions .........................................................................1318
Prevalence...........................................................................1318
Conference Design and Format ........................................1319
Recommendations for Disqualification and Eligibility .....1319
Special Considerations .......................................................1320
References ..........................................................................1321
Appendix 1.........................................................................1321
Task Force 1: Preparticipation Screening and Diagnosis
of Cardiovascular Disease in Athletes .................................1322
Preparticipation Screening .................................................1322
Diagnostic Testing Strategies ............................................1323
Athletes Heart and Cardiovascular Disease .....................1324
References ..........................................................................1325
Appendix 1.........................................................................1326
Task Force 2: Congenital Heart Disease ............................1326
General Considerations .....................................................1326
Types of Congenital Defects .............................................1326
References ..........................................................................1333
Appendix 1.........................................................................1333
Task Force 3: Valvular Heart Disease.................................1334
General Considerations .....................................................1334
Mitral Stenosis ...................................................................1334
Mitral Regurgitation ..........................................................1335
Aortic Stenosis ...................................................................1336
Aortic Regurgitation ..........................................................1337
Bicuspid Aortic Valves With Aortic Root Dilatation .........1338
Tricuspid Regurgitation.....................................................1338
Tricuspid Stenosis..............................................................1338
Multivalvular Disease.........................................................1338
Prosthetic Heart Valves .....................................................1338
Valve Repair or Percutaneous Mitral Balloon
Valvotomy .....................................................................1339
References ..........................................................................1339
Appendix 1.........................................................................1340
Task Force 4: HCM and Other Cardiomyopathies, Mitral
Valve Prolapse, Myocarditis, and Marfan Syndrome.........1340
Hypertrophic Cardiomyopathy ..........................................1340
Mitral Valve Prolapse (MVP) ...........................................1341
Myocarditis ........................................................................1342
Marfan Syndrome ..............................................................1342
Ehlers-Danlos Syndrome...................................................1343
Arrhythmogenic Right Ventricular Cardiomyopathy
(ARVC) ........................................................................1343
Other Myocardial Diseases................................................1343
Pericarditis..........................................................................1344
References ..........................................................................1344
Appendix 1.........................................................................1345

Task Force 5: Systemic Hypertension .................................1346


General Considerations .....................................................1346
References ..........................................................................1347
Appendix 1.........................................................................1348
Task Force 6: Coronary Artery Disease ..............................1348
Atherosclerotic Coronary Artery Disease..........................1348
Coronary Artery Vasospasm ..............................................1351
CAD in Cardiac Transplant Recipients............................1351
Myocardial Bridging ..........................................................1352
References ..........................................................................1352
Appendix 1.........................................................................1353
Task Force 7: Arrhythmias ...................................................1354
General Considerations .....................................................1354
Syncope ..............................................................................1355
Types of Arrhythmias ........................................................1356
References ..........................................................................1362
Appendix 1.........................................................................1363
Task Force 8: Classification of Sports.................................1364
Response and Adaptation to Exercise ...............................1364
Athletes Heart...................................................................1365
Classification of Sports ......................................................1365
Limitations of Classification..............................................1366
References ..........................................................................1367
Appendix 1.........................................................................1367
Task Force 9: Drugs and Performance-Enhancing
Substances ..............................................................................1368
General Considerations .....................................................1368
References ..........................................................................1369
Appendix 1.........................................................................1369
Task Force 10: Automated External Defibrillators ............1369
General Considerations of Cardiac Arrest Risk
Among Athletes ...........................................................1369
Role of Automated External Defibrillators in
Response to Cardiac Arrest..........................................1370
AEDs at Sites of Training and Competition ...................1370
References ..........................................................................1370
Appendix 1.........................................................................1371
Task Force 11: Commotio Cordis ......................................1371
General Considerations .....................................................1371
References ..........................................................................1373
Appendix 1.........................................................................1373
Task Force 12: Legal Aspects of the 36th Bethesda
Conference Recommendations ............................................1373
General Considerations .....................................................1373
References ..........................................................................1375
Appendix 1.........................................................................1375

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Table of contents
J. Am. Coll. Cardiol. 2005;45;1316
doi:10.1016/j.jacc.2005.02.003
This information is current as of March 5, 2010
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