Prevention & lipidsGuideline or statement

Indications, protocols, and interpretation of cardiovascular imaging for the evaluation and management of athletes: a clinical consensus statement of the European Association of Preventive Cardiology (EAPC) and the European Association of Cardiovascular Imaging (EACVI) of the ESC: Part 1—Exercise imaging

Eur J Prev CardiolPublished

  • Clinical consensus statement

Recommendations

As issued by the authors

  1. Exercise stress echocardiography (ESE) to assess cardiac reserve, unmask concealed cardiomyopathies and stratify risk in T-wave inversion, exercise-induced repolarization abnormalities and extreme ventricular remodelling

  2. Imaging protocols tailored to athletes, incl. dynamic assessment of RV and LV, atria and valvular function during various exercise modalities

  3. Integration of cardiopulmonary exercise testing and exercise cardiac MRI as complementary techniques

  4. Individualized testing strategies considering sport-specific demands, body size, sex, ethnicity and underlying pathology

  5. Exercise imaging to guide sports eligibility and tailor exercise prescription for competitive athletes and patients in recreational sports or exercise programs

Original publication

Indications, protocols, and interpretation of cardiovascular imaging for the evaluation and management of athletes: a clinical consensus statement of the European Association of Preventive Cardiology (EAPC) and the European Association of Cardiovascular Imaging (EACVI) of the ESC: Part 1—Exercise imaging. Eur J Prev Cardiol. Published 23 June 2026. doi:10.1093/eurjpc/zwag134

Summarised from the published abstract; every number is checked against it