{"id":20224,"date":"2026-07-31T10:32:36","date_gmt":"2026-07-31T10:32:36","guid":{"rendered":"https:\/\/woncaeurope2026.org\/sessions\/ecg-and-non-competitive-sport-fitness-when-to-refer-to-a-sports-physician\/"},"modified":"2026-07-31T10:32:36","modified_gmt":"2026-07-31T10:32:36","slug":"ecg-and-non-competitive-sport-fitness-when-to-refer-to-a-sports-physician","status":"publish","type":"wsa_session","link":"https:\/\/woncaeurope2026.org\/fr\/sessions\/ecg-and-non-competitive-sport-fitness-when-to-refer-to-a-sports-physician\/","title":{"rendered":"ECG and “non-competitive” sport fitness: when to refer to a Sports Physician"},"content":{"rendered":"

In daily practice, GPs are faced with countless procedures.\u00a0 250\/1500 times a year\u00a0 they must complete the Non-Competitive Sports Eligibility check. Following the Law, one ECG by age 40, or one ECG\u00a0 year for sports with a significant cardiovascular impact and for sports performed at CONI-affiliated or comparable facilities. At this point:\u00a0 a) perform only a resting ECG; b) perform a resting ECG at the GP's facility; c) perform an ECG with\u00a0 telemedicine. For patients with comorbidities or on multiple medications, a dilemma arises: when should a specialist be referred? … and when should a sports physician be referred?It's a new way to use for PC1) Jhoanna 91-year-old World Gymnastics Champion :"non plus fit…" …(red light: the CV risk is actually very high!) 2) Lisa, 51: from a known age, low CV risk profile, "wants to swim" (green light: she also underwent negative follow-up tests) 3)Fede, 63 years old \u2013 DM and mild hypertension,(NYHA 2\/3), wants to exercise (Pilates with friends), ABNORMAL ECG (red light:Holter, ultrasound, echocardiogram and PT: NAO bb…) 4) Luigi, 59: cyclist on Sundays. High CV risk EO negative – BP 140\/90 ECG: RBBB + EASin (yellow light: cardiological and sports medicine re-evaluation is required)PASS WITH GREEN: \u2022 asymptomatic EO: negative \u2022 BP: normal\u00a0 \u2022 NORMAL ECG – Baseline ECG: non-pathological: \u2022 Sinus arrhythmia \u2022 Isolated right bundle branch block \u2022 Sokolow index (S in V1 + R in V5\/6 > 35) "isolated" \u2022 Slight R wave enhancement ("female pattern") \u2022 "S. "Early repolarization" RED LIGHT: \u2022 History: previous CV event (NYHA and CCS class) \u2022 Sinus VENTRICULAR DYSFUNCTION (echocardiogram) \u2022 High CV risk profile (? Stress test) \u2022 Abnormal ECG STOPPED WITH YELLOW: \u2022 History: "equivocal" symptoms, functional capacity not assessable \u2022 Objective Examination: not negative \u2022 BP: controlled (on polytherapy) or uncontrolled \u2022 Abnormal ECG: \u2022 Non-sinus rhythm – "low" atrial atrial fib\/paroxysmal atrial flutter \u2022 Frequent and symptomatic supraventricular extrasystoles \u2022 Non-specific ventricular repolarization abnormalitiesIn all patients, the following is mandatory: CORRECT CARDIOVASCULAR RISK STRATIFICATION Special warnings: taking types of medications: bb -NOAC – Oral type 2 diabetes at risk…<\/p>\n","protected":false},"template":"","class_list":["post-20224","wsa_session","type-wsa_session","status-publish","hentry","description-off"],"_links":{"self":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/wsa_session\/20224","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/wsa_session"}],"about":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/types\/wsa_session"}],"wp:attachment":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/media?parent=20224"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}