D'Ascenzi Flavio, Castelletti Silvia, Adami Paolo Emilio, Cavarretta Elena, Sanz-de la Garza María, Maestrini Viviana, Biffi Alessandro, Kantor Paul, Pieles Guido, Verhagen Evert, Tiberi Monica, Hanssen Henner, Papadakis Michael, Niebauer Josef, Halle Martin
Department of Medical Biotechnologies, Division of Cardiology, University of Siena, V.le M. Bracci, 16 53100, Siena, Italy.
IRCCS Istituto Auxologico Italiano, Cardiomyopathy Unit and Department of Cardiovascular, Neural and Metabolic Sciences, Milan, Italy.
Eur J Prev Cardiol. 2022 Nov 15;29(16):2120-2124. doi: 10.1093/eurjpc/zwac180.
Cardiac sequelae after COVID-19 have been described in athletes, prompting the need to establish a return-to-play (RTP) protocol to guarantee a safe return to sports practice. Sports participation is strongly associated with multiple short- and long-term health benefits in children and adolescents and plays a crucial role in counteracting the psychological and physical effects of the current pandemic. Therefore, RTP protocols should be balanced to promote safe sports practice, particularly after an asymptomatic SARS-CoV-2 infection that represents the common manifestation in children. The present consensus document aims to summarize the current evidence on the cardiac sequelae of COVID-19 in children and young athletes, providing key messages for conducting the RTP protocol in paediatric athletes to promote a safe sports practice during the COVID-19 era.
新冠病毒病（COVID-19）后的心脏后遗症在运动员中已有描述，这促使需要制定重返比赛（RTP）方案，以确保安全恢复体育训练。体育活动与儿童和青少年的多种短期和长期健康益处密切相关，并且在对抗当前大流行的心理和身体影响方面发挥着关键作用。因此，RTP方案应保持平衡，以促进安全的体育训练，尤其是在无症状的严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染之后，这种感染在儿童中较为常见。本共识文件旨在总结关于COVID-19在儿童和年轻运动员中引起的心脏后遗症的现有证据，为儿科运动员实施RTP方案提供关键信息，以便在COVID-19疫情期间促进安全的体育训练。
