Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 15: Legal Aspects of Medical Eligibility and Disqualification Recommendations : A Scientific Statement From the American Heart Associat
- ACC/AHA Scientific Statements;
- cardiovascular abnormalities;
From a legal perspective and medical perspective, protection of the health and safety of an athlete (as well as that of others potentially endangered by his or her participation) and avoidance of exposure to a significant risk of sudden cardiac death during competitive athletics should be the primary factors determining the exercise of clinical judgment and the making of medical recommendations regarding athletic participation by those with a cardiovascular abnormality. A physician’s general legal duty is to conform to accepted, customary, or reasonable medical practice providing medical sports participation recommendations consistent with an athlete’s medical best interests from both a short- and long-term perspective 1 and 2. Courts generally have recognized that guidelines established by national medical associations are evidence of good medical practice, but they are not conclusive evidence of the medical or legal standard of care 3, 4 and 5. Avoidance of the unnecessary restriction of competitive athletic activity is a legitimate objective, but a physician’s medical judgment should not be compromised by an athlete’s strong desire to play a sport and willingness to assume a medically unreasonable risk, or by the team’s need for an athlete’s talents 6 and 7.
Autor / Fonte:Matthew J Mitten, Douglas P Zipes, Barry J Maron, William J Bryant Journal of the American College of Cardiology 2015 October 27