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Chapter 1

Post COVID Return to Play in Pediatric Patients

Janet Semple-Hess, MD and Tracy Zaslow, MD

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Reports of long term health issues after COVID infection have raised concerns about when it is safe to return to participate in sports after COVID infection. Cardiology, sports medicine, and pediatric societies have provided guidance to guide health care professionals in advising their patients in regard to return to play issues. In this Hippo segment, sports medicine expert Dr. Tracy Zaslow and pediatric emergency medicine physician Dr. Janet Semple-Hess review all there is to know about Post-COVID Return to Play.

POSTED 5/7/21


  1. “Returning to Play after Coronavirus Infection: Pediatric Cardiologists’ Perspective.” American College of Cardiology,

  2. “California Interscholastic Federation.”, . Accessed 5 May

  3. “California Interscholastic Federation.”, . Accessed 5 May

  4. Returning to Play after Coronavirus Infection: Pediatric Cardiologists’ Perspective.” American College of Cardiology,

  5. “COVID-19 Interim Guidance: Return to Sports.”,

  6. AHA 14-element screening: Maron BJ, et al. Assessment of the 12-lead electrocardiogram as a screening test for detection of cardiovascular disease in healthy general populations of young people (12-25 years of age): a scientific statement from the American Heart Association and the American College of Cardiology. J Am Coll Cardiol. 2014 Oct 7;64(14):1479-514. Epub 2014 Sep 15.PMID: 25234655.

  7. Maron BJ, Thompson PD, Maron MS. There is No Reason to Adopt ECG s and Abandon American Heart Association/American College of Cardiology History and Physical Screening for Detection of Cardiovascular Disease in the Young. J Am Heart Assoc. 2019 Jul 16;8(14):e013007. Epub 2019 Jul 9.PMID: 31286811

  8. Martinez MW, et al. Prevalence of Inflammatory Heart Disease Among Professional Athletes With Prior COVID-19 Infection Who Received Systematic Return-to-Play Cardiac Screening. JAMA Cardiol. 2021 Mar 4:e210565. Epub ahead of print.PMID: 33662103

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