| COR | Recommendations |
LOE | References |
|---|---|---|---|
| Sports Participation | |||
| I | For patients with CIEDs, decisions regarding participation in sports or exercise are primarily based on considerations of the patient's diagnosis and physiology rather than the presence of the device. | C-EO | |
| IIa | For patients with pacemakers and ICDs, participation in competitive sports or intense recreational exercise is reasonable after shared decision-making that involves a provider who conveys the estimated risk and also includes coaches, schools, communities, or teams. | C-LD | [98] |
| III No benefit | ICD placement for the sole purpose of participation in competitive athletics should not be performed. | B-NR | [98,99] |
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