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Misclassification of cricket in the American College of Cardiology (ACC) Task Force classification of sports
  1. Jessica J Orchard1,2,
  2. John W Orchard1,
  3. Andre La Gerche3,
  4. Hariharan Raju4,
  5. Christopher Semsarian1,5
  1. 1 Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia
  2. 2 Heart Research Institute, Charles Perkins Centre, Sydney, New South Wales, Australia
  3. 3 Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia
  4. 4 Macquarie University, Sydney, New South Wales, Australia
  5. 5 Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
  1. Correspondence to Professor Christopher Semsarian, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia; c.semsarian{at}

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‘The Mitchell classification’1 is a widely known system published by the American College of Cardiology (ACC) to catalogue sports based on peak static and dynamic components achieved during competition.1 2 Used in the Bethesda guidelines3 and more recent scientific statement from the American Heart Association (AHA) and ACC,2 this helpful framework is widely used for assisting with clinical decisions regarding participation in specific sports by athletes with known cardiovascular disease. These guidelines have twice1 2 classified cricket as a sport with low static and low dynamic cardiovascular demands (category IA) and where impact is not expected. Other sports in this category include bowling, golf and yoga. The guidelines only provide minimal objective thresholds for each category, and do not provide any data for individual sports.

Like all professional sports, in cricket the risk of sudden cardiac death must be considered. The level of risk is relevant for both players with known cardiovascular disease and also …

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  • Funding This study was funded by an Australian Government Research Training Program, National Health and Medical Research Council (grant number 1059156).

  • Competing interests JWO is a consultant of Cricket Australia. CS is the recipient of an NHMRC Practitioner Fellowship (1059156). JJO is supported by an Australian Government Research Training Program (RTP) Scholarship.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.