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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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