Since outcomes for patients with congenital heart disease (CHD) have greatly improved, most patients with CHD are surviving into adulthood and creating dilemmas for practitioners with regard to competitive sports participation. Much time, effort, and expertise have gone into developing the new American Heart Association/American College of Cardiology's guidelines and the European Society of Cardiology's guidelines. Practitioners should consult the guidelines but also be aware of gaps in the literature and should individualize recommendations for each patient. Both participation and restriction decisions should be made thoughtfully and collaboratively with athletes as either decision carries important consequences."
Keywords: Congenital heart disease; Exercise; Quality of life; Sports participation; Sudden cardiac arrest.
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