H, D.E., C, H.M., D, L.B., J, A.M., L, B.A., C, B.T., C, B.A., H, C.E., J, C.G., K, C.W., Eddie, D., N, D.P., C, D.H., Alexander, E., Alaric, F.M., Sawalla, G.J., E, H.T., A, H.E., A, J.C., . . . A, W.J. (2026). Clinical Considerations for the Care of the Tactical Athlete With Cardiovascular Abnormalities: A Scientific Statement From the American College of Cardiology and the American Heart Association.. Circulation. https://doi.org/10.1161/CIR.0000000000001476
H DE, C HM, D LB, J AM, L BA, C BT, et al. Clinical Considerations for the Care of the Tactical Athlete With Cardiovascular Abnormalities: A Scientific Statement From the American College of Cardiology and the American Heart Association.. Circulation. 2026; doi: 10.1161/CIR.0000000000001476
H DE, C HM, D LB, et al. Clinical Considerations for the Care of the Tactical Athlete With Cardiovascular Abnormalities: A Scientific Statement From the American College of Cardiology and the American Heart Association.[J]. Circulation. 2026. DOI: 10.1161/CIR.0000000000001476.
@article{h2026,
author = {Dineen Elizabeth H and Haigney Mark C and Levine Benjamin D and Ackerman Michael J and Baggish Aaron L and Batts Travis C and Braverman Alan C and Chung Eugene H and Cole Geoffrey J and Cornwell William K and Davenport Eddie and Dean Peter N and Dietz Harry C and Eastman Alexander and Franzos Marc Alaric and Guseh J Sawalla and Harrell Travis E and Hulten Edward A and James Cynthia A and Kim Jonathan H and Lampert Rachel J and Martinez Matthew W and May Joseph W and O'Connor Francis G and Petek Bradley J and Shah Ankit B and Smith Denise L and Thompson Paul D and Wasfy Meagan M and Watts James A},
title = {Clinical Considerations for the Care of the Tactical Athlete With Cardiovascular Abnormalities: A Scientific Statement From the American College of Cardiology and the American Heart Association.},
journal = {Circulation},
year = {2026},
doi = {10.1161/CIR.0000000000001476},
note = {PMID: 42691142},
}
TY - JOUR AU - Dineen Elizabeth H AU - Haigney Mark C AU - Levine Benjamin D AU - Ackerman Michael J AU - Baggish Aaron L AU - Batts Travis C AU - Braverman Alan C AU - Chung Eugene H AU - Cole Geoffrey J AU - Cornwell William K AU - Davenport Eddie AU - Dean Peter N AU - Dietz Harry C AU - Eastman Alexander AU - Franzos Marc Alaric AU - Guseh J Sawalla AU - Harrell Travis E AU - Hulten Edward A AU - James Cynthia A AU - Kim Jonathan H AU - Lampert Rachel J AU - Martinez Matthew W AU - May Joseph W AU - O'Connor Francis G AU - Petek Bradley J AU - Shah Ankit B AU - Smith Denise L AU - Thompson Paul D AU - Wasfy Meagan M AU - Watts James A TI - Clinical Considerations for the Care of the Tactical Athlete With Cardiovascular Abnormalities: A Scientific Statement From the American College of Cardiology and the American Heart Association. T2 - Circulation PY - 2026 DO - 10.1161/CIR.0000000000001476 AN - PMID:42691142 ER -
AIM: The American College of Cardiology/American Heart Association Scientific Statement, "Clinical Considerations for the Care of the Tactical Athlete With Cardiovascular Abnormalities," was written to provide guidance and education for clinicians caring for the tactical athlete (ie, firefighters, law enforcement officers, military) with cardiovascular disease or risk for cardiovascular disease, and for the organizations overseeing the care and wellness of these athletes. The considerations are shaped by the interaction between occupational demands and fit for full duty assessments, including risk discussions about how a cardiovascular event in a tactical athlete could impact teammates' well-being, community safety, and overall mission success. METHODS: This scientific statement is organized into 11 sections focused on cardiovascular disease processes and other topics that are relevant when considering the potential risks and benefits of performing tasks specific to the tactical athlete. Task forces, comprised of experts in tactical athlete domains, sports cardiology, and the respective topics covered, were assigned to each section, and specific "Clinical Considerations Tables" for clinicians to reference were prepared. Comprehensive literature reviews and an emphasis on tactical athlete-focused data, as available, were integral in the writing of all clinical considerations presented. The framework mirrors that of the recently published, "Clinical Considerations for Competitive Sports Participation for Athletes With Cardiovascular Abnormalities: A Scientific Statement From the American Heart Association and American College of Cardiology." STRUCTURE: The specific sections in this document include: Section 1: Tactical Tasks Classification; Section 2: The Tactical Athlete Preparticipation Cardiac Evaluation; Section 3: Ethical and Legal Aspects of Tactical Clinical Management; Section 4: Genetic Cardiomyopathies; Section 5: Myocarditis and Other Acquired Cardiac Conditions; Section 6: Congenital Heart Disease; Section 7: Aortopathy, Bicuspid Aortic Valve, and Spontaneous Coronary Artery Dissection; Section 8: Syncope, SCA, Arrhythmias, and Devices; Section 9: Cardiac Channelopathies; Section 10: Older Tactical Athlete; Section 11: Environmental Exposures, PED/S, and Additional Cardiac Conditions and Considerations. Each section provides a summary detailing the rationale for key clinical considerations and the respective Clinical Considerations Table(s).