Br J Cardiol 2016;23:16–20

Are the current guidelines for  performing sports with an ICD too restrictive?

Current guidelines recommend against vigorous sports for all patients with an Implantable Cardioverter-Defibrillators (ICD). In this study Tessa Backhuijs and her colleagues of UMC Utrecht established the risk of life-threatening arrhythmias and shocks in patients with an ICD participating in sports.

Key messages
• There is no increased risk of untreatable ventricular arrhythmias for young patients participating in sports with an ICD (≤ 40 years old) and with a preserved left ventricular ejection fraction (LVEF).
• Athletes with an ICD do not receive more frequent appropriate shocks compared to non-athletes.
• The intensity level of sport is not related to the occurrence of shocks.
• In individual cases the advice to participate in sports could be more lenient compared to current guidelines.

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