Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Italian Cardiological Guidelines for Sports Eligibility in Athletes with Heart Disease: Part 2

Biffi, Alessandro; Delise, Pietro; Zeppilli, Paolo; Giada, Franco; Pelliccia, Antonio; Penco, Maria; Casasco, Maurizio; Colonna, Pierluigi; D’Andrea, Antonello; D’Andrea, Luigi; Gazale, Giovanni; Inama, Giuseppe; Spataro, Antonio; Villella, Alessandro; Marino, Paolo; Pirelli, Salvatore; Romano, Vincenzo; Cristiano, Antonio; Bettini, Roberto; Thiene, Gaetano; Furlanello, Francesco; Corrado, Domenico

Journal of Cardiovascular Medicine: July 2013 - Volume 14 - Issue 7 - p 500–515
doi: 10.2459/JCM.0b013e32835fcb8a

In Italy the existence of a law on health protection of competitive sports since 1982 has favored the creation and the revision of these cardiological guidelines (called COCIS), which have reached their fourth edition (1989–2009). The present article is the second English version, which has summarized the larger version in Italian. The experience of the experts consulted in the course of these past 20 years has facilitated the application and the compatibility of issues related to clinical cardiology to the sports medicine field. Such prolonged experience has allowed the clinical cardiologist to acquire knowledge of the applied physiology of exercise and, on the other hand, has improved the ability of sports physicians in cardiological diagnostics. All this work has produced these guidelines related to the judgment of eligibility for competitive sports in the individual clinical situations and in the different cardiovascular abnormalities and/or heart disease. Numerous arguments are debated, such as interpretation of the athlete's ECG, the utility of a preparticipation screening, arrhythmias, congenital heart disease, cardiomyopathies, arterial hypertension, ischemic heart disease and other particular issues.

aNational Italian Olympic Committee, Institute of Sports Medicine and Science, Rome

bDepartment of Cardiology, Hospital of Conegliano, Conegliano

cDepartment of Sports Medicine, Catholic University of Sacro Cuore, Rome

dHealth Unit of Noale, Department of Sports Medicine, Noale

eDepartment of Cardiology, University of L’Aquila, L’Aquila

fItalian Federation of Sports Medicine, Rome

gDepartment of Cardiology, Lancisi Hospital, Ancona

hDepartment of Cardiology, Monaldi Hospital, II University of Naples, Naples

iHealth Unit of Sassari, Department of Sports Medicine, Sassari

jDepartment of Cardiology, Hospital of Crema, Crema

kDepartment of Cardiology, Hospital of Foggia, Foggia

lDepartment of Cardiology, Hospital of Novara, Novara

mCardiology Unit, Hospital of Cremona, Cremona

nNational Association of Extra-Hospital Cardiology, Rome

oRehabilitation Unit, Hospital of Mezzolombardo, Mezzolombardo

pDepartment of Cardiovascular Pathology, University of Padua Medical School, Padua

qElectrophysiologic and Arrhythmia Unit, Institute of San Donato, Milan

rDivision of Cardiology, University of Padua Medical School, Padua, Italy

Correspondence to Dr Alessandro Biffi, Institute of Sports Medicine and Science, Largo P. Gabrielli 1, 00196, Rome, Italy E-mail:

Received 18 April, 2012

Revised 23 January, 2013

Accepted 31 January, 2013

© 2013 Italian Federation of Cardiology. All rights reserved.