ArticleJACC. Case reports2026
Return-to-Sport Evaluation After ST-Segment Elevation Myocardial Infarction and Persistent Systolic Dysfunction in a Masters Athlete.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
backgroundReturn-to-sport evaluation after myocardial infarction is complex when significant residual systolic dysfunction persists. CASE SUMMARY: A 66-year-old competitive amateur slalom skier presented for return-to-sport evaluation 7 months after anterior ST-segment elevation myocardial infarction treated with fibrinolysis and percutaneous coronary intervention. His course was complicated by ischemic cardiomyopathy (left ventricular ejection fraction = 25%), left ventricular thrombus, and post-myocardial infarction pericarditis. After completing cardiac rehabilitation and guideline-directed medical therapy, he sought guidance on resuming high-intensity endurance training and competitive downhill skiing. DISCUSSION: A structured sports cardiology evaluation approach incorporated disease-specific risk (ventricular dysfunction), medication-associated bleeding risk (dual antiplatelet therapy), and sport-specific hazards (collision, high altitude, and delayed emergency access). Shared decision-making aligned the patient's athletic identity with risk mitigation. Competitive skiing was deferred in the short term, with a tailored exercise prescription based on his unique physiology. This case highlights a practical framework for return-to-sport readiness in masters athletes with persistent ventricular dysfunction after myocardial infarction. TAKE-HOME MESSAGES: Individualized return-to-sport assessment after myocardial infarction with persistent left ventricular dysfunction requires integrating disease-, medication-, and sport-specific risks. Shared decision-making allows athletes to maintain meaningful physical activity while prioritizing safety.
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