COVID-19 Return to Sports Participation for Primary Care and Recommendations for Cardiology Consultation after COVID-19
The following recommendations are based on published guidelines and medical literature, along with local expert consensus from the Division of Cardiology and Division of General Pediatrics.
For all COVID-19 positive patients, continue to follow CDC guidelines for isolation protocols.
Note: Recommendations are subject to change based on the latest evidence and CHOP expert consensus, as more information about the cardiac manifestations of COVID-19 in our patients becomes available. These guidelines were most recently updated in February 2023. |
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Asymptomatic Patients and Patients with Mild Symptoms |
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Patients with Moderate Symptoms |
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Patients with Severe Symptoms Requiring ICU Admission |
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For ALL patients who are cleared for return to sports/exercise
- Whenever resuming activity (competitive sports, physical education class, recreational activities), patients should slowly advance activity and monitor for further symptoms .
- Any concern for clinical deterioration or cardiac symptoms should warrant further cardiac evaluation and discontinuation of sports/exercise until further notice.
Multisystem Inflammatory Syndrome in Children (MIS-C)
MIS-C is a severe inflammatory response that occurs in a subset of patients approximately 2-6 weeks after SARS-CoV-2 infection. Patients with MIS-C (regardless of severity) should be followed by pediatric cardiology outpatient with return to sports dictated by pediatric cardiology and often by a multidisciplinary team.
Refer to CHOP COVID-19 clinical pathways, including further information on evaluation and management of COVID-19 and MIS-C.