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May 2026 Br J Cardiol 2026;33:58–61 doi:10.5837/bjc.2026.021

Exercise and competitive sport in those with genetic heart disease: what we know and what we don’t know. Part 2

Liam Fitzpatrick, Valerie Hayes, Habitha Sulaiman, Deirdre Ward, David Mulcahy

Abstract

Sporting activities in those with ICDs Lampert and colleagues reported a prospective multi-national registry looking at the safety of sports for athletes with implantable cardioverter-defibrillators (ICDs) in 2013.1 At the time of inception in 2006, the international (American Heart Association [AHA] and European Society of Cardiology [ESC]) recommendations were that billiards, bowling and golf were acceptable activities for such patient athletes. Concerns related to potential failure of the ICD to defibrillate due to metabolic, autonomic or potentially ischaemic changes during intense exercise, potential death or harm due to momentary loss

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