Resumption of sports practice not preceded by adequate pre-participation cardiac evaluation in athletes affected by COVID-19 may be a thoughtless decision which exposes them to the risk of sudden cardiac death. There is still no conclusive data regarding the safety of high-performance sports in this specific population because during vigorous exercise, they might present malignant arrhythmias secondary to myocardial injury with bad outcomes. Sports teams and organizations are responsible for taking care of their athletes and staff, promoting adequate screening for cardiac sequelae (especially myocarditis), because cardiac events can occur during matches, training or even at rest. Further studies are needed to demonstrate data analysis from clinical and complementary exams in this population, which should base the recommendations for a safe return to sports practice. So far, we should consider the risk of myocarditis in athletes with previous diagnosis of COVID-19 and follow the current recommendations for evaluating athletes with myocarditis.
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