Fig. 3.

Most patients recovered from COVID 19 will be asymptomatic or will not have cardiopulmonary symptoms. For these athletes, clinical testing is not required. For athletes with persisting cardiopulmonary symptoms, we recommend clinical evaluation with triad of testing (biomarkers, ECG, and echocardiogram with consideration for exercise treadmill test). For athletes who were hospitalized with COVID-19, a period of convalescence followed by cardiac testing, depending on presence of cardiopulmonary symptoms may be required before allowing the patient to return to exercise and competition.