Key Points - This retrospective observational study confirms the predominantly self-limiting illness of COVID-19 in young, multi-ethnic athlete population, without high incidence of myocardial injury or significant impact on athletic performance. - Transient exertional ventricular arrhythmias or pericardial effusion could be observed after COVID-19 infection; therefore, a usual return-to-play protocol evaluation must be performed after asymptomatic or mild symptomatic illness resolution. - It is reasonable that higher risk of myocardial involvement could be observed in moderate-to-severe symptomatic athletes and further studies need to clarify if implemented screening for return to activity is necessary in this context.
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