<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mes</journal-id><journal-title-group><journal-title xml:lang="ru">Экстремальная биомедицина</journal-title><trans-title-group xml:lang="en"><trans-title>Extreme Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">3033-8964</issn><issn pub-type="epub">3033-8972</issn><publisher><publisher-name>Centre for Strategic Planning of the Federal Medical and Biological Agency</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.47183/mes.2023.021</article-id><article-id custom-type="elpub" pub-id-type="custom">mes-136</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОР</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Особенности курации спортсменов при затяжных вариантах течения COVID-19</article-title><trans-title-group xml:lang="en"><trans-title>Particularities of curation of athletes with protracted course of COVID-19</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Балыкова</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Balykova LA</surname><given-names>L. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Саранск</p></bio><bio xml:lang="en"><p>Saransk</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жолинский</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zholinsky</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тарасова</surname><given-names>М. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Tarasova</surname><given-names>M. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мария Сергеевна Тарасоваул. Б. Дорогомиловская, д. 5, г. Москва, 121059</p></bio><bio xml:lang="en"><p>Maria S. TarasovaB. Dorogomilovskaya, 5, Moscow, 121059</p></bio><email xlink:type="simple">arasovams@sportfmba.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ивянский</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivyanskiy</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Саранск</p></bio><bio xml:lang="en"><p>Saransk</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Базанович</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Bazanovich</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ширманкина</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shirmankina</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Саранск</p></bio><bio xml:lang="en"><p>Saransk</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Беспалов</surname><given-names>Р. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Bespalov</surname><given-names>R. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Саранск</p></bio><bio xml:lang="en"><p>Saransk</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ефимов</surname><given-names>П. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Efimov</surname><given-names>P. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гришина</surname><given-names>Ж. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Grishina</surname><given-names>Zh. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Парастаев</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Parastaev</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Москва</p></bio><bio xml:lang="en"><p> Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Мордовский государственный университет имени Н. П. Огарёва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ogaryov National Research Mordovian State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральный научно-клинический центр спортивной медицины и реабилитации Федерального медико-биологического агентства</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Research and Clinical Center of Sports Medicine and Rehabilitation of Federal Medical Biological Agency</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Российский национальный исследовательский медицинский университет имени Н. И. Пирогова Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Research and Clinical Center of Sports Medicine and Rehabilitation of Federal Medical Biological Agency</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Федеральный научно-клинический центр спортивной медицины и реабилитации Федерального медико-биологического агентства; Российский национальный исследовательский медицинский университет имени Н. И. Пирогова Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Research and Clinical Center of Sports Medicine and Rehabilitation of Federal Medical Biological Agency;&#13;
Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>26</day><month>10</month><year>2024</year></pub-date><volume>25</volume><issue>2</issue><fpage>41</fpage><lpage>50</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Балыкова Л.А., Жолинский А.В., Тарасова М.С., Ивянский С.А., Базанович С.А., Ширманкина М.В., Беспалов Р.А., Ефимов П.В., Гришина Ж.В., Парастаев С.А., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Балыкова Л.А., Жолинский А.В., Тарасова М.С., Ивянский С.А., Базанович С.А., Ширманкина М.В., Беспалов Р.А., Ефимов П.В., Гришина Ж.В., Парастаев С.А.</copyright-holder><copyright-holder xml:lang="en">Balykova LA L.A., Zholinsky A.V., Tarasova M.S., Ivyanskiy S.A., Bazanovich S.A., Shirmankina M.V., Bespalov R.A., Efimov P.V., Grishina Z.V., Parastaev S.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.extrememedicine.ru/jour/article/view/136">https://www.extrememedicine.ru/jour/article/view/136</self-uri><abstract><p>Представлен обзор публикаций, посвященных отсроченным клиническим и функциональным проявлениям коронавирусной инфекции SARS-CoV2 в контингенте спортсменов национального и международного уровней; дана характеристика распространенности полиорганных поражений при затяжном течении коронавирусной инфекции среди спортсменов, а также лиц, не занимающихся спортом. Описаны результаты ретроспективного анализа данных клинико-инструментального и лабораторного тестирования спортсменов сборной команды России, перенесших COVID-19. Выделены наиболее информативные показатели, отражающие состояние спортсменов с пролонгированным течением коронавирусной инфекции; определены подходы к безопасному возобновлению спортивной деятельности, сформирован перечень наиболее значимых критериев допуска к тренировочному и соревновательному процессу. Определены параметры, подлежащие включению в прогностическую модель (бинарную логистическую регрессию) динамики резидуальных полиорганных нарушений у спортсменов, в том числе несовершеннолетних, перенесших коронавирусную инфекцию или вирусную пневмонию иной этиологии</p></abstract><trans-abstract xml:lang="en"><p>This paper reviews publications covering the delayed clinical and functional manifestations of SARS-CoV2 among athletes competing at national and international levels; we describe the prevalence of multiorgan failure associated with protracted COVID as registered in sportsmen and people not going in for sports. The review reports the results of a retrospective analysis of data yielded from clinical, instrumental and laboratory tests undertaken by the Russian national team athletes that had COVID-19. We highlight the most informative indicators that reflect the condition of sportsmen with protracted coronavirus infection course, define the approaches making resumption of active training safe and compile the list of the most significant criteria supporting admission to such training and competitions. Lastly, the paper presents the parameters subject to inclusion in the prognostic model (binary logistic regression) describing the dynamics of residual multiorgan failure in athletes, including minors, who have had COVID-19 or viral pneumonia of a different etiology.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>спорт высших достижений</kwd><kwd>элитные спортсмены</kwd><kwd>коронавирусная инфекция SARS-CoV2</kwd><kwd>постковидный синдром</kwd><kwd>кардиоваскулярная система</kwd><kwd>миокардит в спорте</kwd><kwd>мультисистемный воспалительный синдром</kwd><kwd>бинарная логистическая регрессия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>elite sports</kwd><kwd>elite athletes</kwd><kwd>SARS-CoV2 coronavirus infection</kwd><kwd>post-Covid syndrome</kwd><kwd>cardiovascular system</kwd><kwd>myocarditis in sports</kwd><kwd>multisystem inflammatory syndrome</kwd><kwd>binary logistic regression</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">статья подготовлена в рамках прикладной научно-исследовательской работы «Изучение влияния новой коронавирусной инфекции COVID-19 на здоровье и функциональное состояние высококвалифицированных спортсменов и разработка методических рекомендаций по обследованию спортсменов, включая несовершеннолетних, по допуску спортсменов к тренировкам и соревнованиям после перенесенного заболевания COVID-19, по восстановлению их здоровья и функционального состояния» (шифр «COVID-22»), выполняемой ФГБУ ФНКЦСМ ФМБА России по государственному контракту №107.003.22.14 от 25 июля 2022 г.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Zholinsky AV, Kruglova IV, Feshchenko VS, Risukhina YV, Fomin AV, Galaktionova NM, et al. Federal medical biological agency of Russia's efforts to support Russian athletes during COVID-19 outbreak. Sport Sci Health. 2022; 18 (3): 831–7. DOI: 10.1007/ s11332-021-00861-5. Epub 2021 Nov 6. PMID: 34777596; PMCID: PMC8571973.</mixed-citation><mixed-citation xml:lang="en">Zholinsky AV, Kruglova IV, Feshchenko VS, Risukhina YV, Fomin AV, Galaktionova NM, et al. Federal medical biological agency of Russia's efforts to support Russian athletes during COVID-19 outbreak. Sport Sci Health. 2022; 18 (3): 831–7. DOI: 10.1007/ s11332-021-00861-5. Epub 2021 Nov 6. PMID: 34777596; PMCID: PMC8571973.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">World Health Organization. Available from: https://www.who.int/ europe/emergencies/situations/covid-19</mixed-citation><mixed-citation xml:lang="en">World Health Organization. Available from: https://www.who.int/ europe/emergencies/situations/covid-19</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Амиров Н. Б., Давлетшина Э. И., Васильева А. Г., Фатыхов Р. Г. Постковидный синдром: мультисистемные «дефициты». Вестник современной клинической медицины. 2021; 14 (6).</mixed-citation><mixed-citation xml:lang="en">Amirov NB, Davletshina EhI, Vasileva AG, Fatyxov RG. Postkovidnyj sindrom: mul'tisistemnye «deficity». Vestnik sovremennoj klinicheskoj mediciny. 2021; 14 (6). Russian.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Soriano JB, Murthy S, Marshall JC, Relan P, Diaz JV; WHO clinical case definition working group on post-COVID-19 condition. A clinical case definition of post-COVID-19 condition by a Delphi consensus. Lancet Infect Dis. 2022; 22 (4): e102–e107. DOI: 10.1016/S1473-3099(21)00703-9. Epub 2021 Dec 21. PMID: 34951953; PMCID: PMC8691845.</mixed-citation><mixed-citation xml:lang="en">Soriano JB, Murthy S, Marshall JC, Relan P, Diaz JV; WHO clinical case definition working group on post-COVID-19 condition. A clinical case definition of post-COVID-19 condition by a Delphi consensus. Lancet Infect Dis. 2022; 22 (4): e102–e107. DOI: 10.1016/S1473-3099(21)00703-9. Epub 2021 Dec 21. PMID: 34951953; PMCID: PMC8691845.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Alkodaymi MS, Omrani OA, Fawzy NA, Shaar BA, Almamlouk R, Riaz M, et al. Prevalence of post-acute COVID-19 syndrome symptoms at different follow-up periods: a systematic review and meta-analysis. Clin Microbiol Infect. 2022; 28 (5): 657–66. DOI: 10.1016/j.cmi.2022.01.014. Epub 2022 Feb 3. PMID: 35124265; PMCID: PMC8812092.</mixed-citation><mixed-citation xml:lang="en">Alkodaymi MS, Omrani OA, Fawzy NA, Shaar BA, Almamlouk R, Riaz M, et al. Prevalence of post-acute COVID-19 syndrome symptoms at different follow-up periods: a systematic review and meta-analysis. Clin Microbiol Infect. 2022; 28 (5): 657–66. DOI: 10.1016/j.cmi.2022.01.014. Epub 2022 Feb 3. PMID: 35124265; PMCID: PMC8812092.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Perrone MA, Volterrani M, Manzi V, Barchiesi F, Iellamo F. Heart rate variability modifications in response to different types of exercise training in athletes. J Sports Med Phys Fitness. 2021; 61 (10): 1411–5. DOI: 10.23736/S0022-4707.21.12480-6. Epub 2021 Jun 17 PMID: 34137572.</mixed-citation><mixed-citation xml:lang="en">Perrone MA, Volterrani M, Manzi V, Barchiesi F, Iellamo F. Heart rate variability modifications in response to different types of exercise training in athletes. J Sports Med Phys Fitness. 2021; 61 (10): 1411–5. DOI: 10.23736/S0022-4707.21.12480-6. Epub 2021 Jun 17 PMID: 34137572.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Powell AW, Urbina EM, Orr WB, Hansen JE, Baskar S. EKG abnormalities in a youth athlete following COVID-19: it's not always myocarditis! Pediatr Cardiol. 2022; 43 (8): 1922–5. DOI: 10.1007/s00246-022-02935-8. Epub 2022 May 27. PMID: 35622085; PMCID: PMC9136195.</mixed-citation><mixed-citation xml:lang="en">Powell AW, Urbina EM, Orr WB, Hansen JE, Baskar S. EKG abnormalities in a youth athlete following COVID-19: it's not always myocarditis! Pediatr Cardiol. 2022; 43 (8): 1922–5. DOI: 10.1007/s00246-022-02935-8. Epub 2022 May 27. PMID: 35622085; PMCID: PMC9136195.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Tanacli R, Doeblin P, Götze C, Zieschang V, Faragli A, Stehning C, et al. COVID-19 vs. Classical myocarditis associated myocardial injury evaluated by cardiac magnetic resonance and endomyocardial biopsy. Front Cardiovasc Med. 2021; 8: 737257. DOI: 10.3389/ fcvm.2021.737257. PMID: 35004872; PMCID: PMC8739473</mixed-citation><mixed-citation xml:lang="en">Tanacli R, Doeblin P, Götze C, Zieschang V, Faragli A, Stehning C, et al. COVID-19 vs. Classical myocarditis associated myocardial injury evaluated by cardiac magnetic resonance and endomyocardial biopsy. Front Cardiovasc Med. 2021; 8: 737257. DOI: 10.3389/ fcvm.2021.737257. PMID: 35004872; PMCID: PMC8739473</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Wulf HS, Abbafati C, Aerts JG, et al. A global systematic analysis of the occurrence, severity, and recovery pattern of long COVID in 2020 and 2021. medRxiv. 2022.</mixed-citation><mixed-citation xml:lang="en">Wulf HS, Abbafati C, Aerts JG, et al. A global systematic analysis of the occurrence, severity, and recovery pattern of long COVID in 2020 and 2021. medRxiv. 2022.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Oikonomou E, Lampsas S, Theofilis P, Souvaliotis N, Papamikroulis GA, Katsarou O, et al. Impaired left ventricular deformation and ventricular-arterial coupling in post-COVID-19: association with autonomic dysregulation. Heart Vessels. 2023; 38 (3): 381–93. DOI: 10.1007/s00380-022-02180-2. Epub 2022 Sep 28.</mixed-citation><mixed-citation xml:lang="en">Oikonomou E, Lampsas S, Theofilis P, Souvaliotis N, Papamikroulis GA, Katsarou O, et al. Impaired left ventricular deformation and ventricular-arterial coupling in post-COVID-19: association with autonomic dysregulation. Heart Vessels. 2023; 38 (3): 381–93. DOI: 10.1007/s00380-022-02180-2. Epub 2022 Sep 28.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Antonelli M, et al. Risk factors and disease profile of post- vaccination SARS-CoV-2 infection in UK users of the COVID Symptom Study app: a prospective, community-based, nested, case-control study. The Lancet Infectious Diseases. 2022; 22: 43–55</mixed-citation><mixed-citation xml:lang="en">Antonelli M, et al. Risk factors and disease profile of post- vaccination SARS-CoV-2 infection in UK users of the COVID Symptom Study app: a prospective, community-based, nested, case-control study. The Lancet Infectious Diseases. 2022; 22: 43–55</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Taquet M, Dercon Q, Harrison PJ. Six-month sequelae of post-vaccination SARS-CoV-2 infection: a retrospective cohort study of 10,024 breakthrough infections. 2021. DOI: 10.1101/2021.10.26.21265508. Available from: http://medrxiv. org/lookup/doi/10.1101/2021.10.26.21265508.</mixed-citation><mixed-citation xml:lang="en">Taquet M, Dercon Q, Harrison PJ. Six-month sequelae of post-vaccination SARS-CoV-2 infection: a retrospective cohort study of 10,024 breakthrough infections. 2021. DOI 10.1101/2021.10.26.21265508. Available from: http://medrxiv. org/lookup/doi/10.1101/2021.10.26.21265508.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Tran V-T, Perrodeau E, Saldanha J, Pane I, Ravaud P. Efficacy of COVID-19 vaccination on the symptoms of patients with long COVID: a target trial emulation using data from the ComPaRe e-cohort in France. 2022. DOI: 10.21203/rs.3.rs-1350429/ v1. Available from: https://www.researchsquare.com/article/rs- 1350429/v1.</mixed-citation><mixed-citation xml:lang="en">Tran V-T, Perrodeau E, Saldanha J, Pane I, Ravaud P. Efficacy of COVID-19 vaccination on the symptoms of patients with long COVID: a target trial emulation using data from the ComPaRe e-cohort in France. 2022. DOI: 10.21203/rs.3.rs-1350429/ v1. Available from: https://www.researchsquare.com/article/rs- 1350429/v1\.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Ashton RE, Philips BE, Faghy M. The acute and chronic implications of the COVID-19 virus on the cardiovascular system in adults: A systematic review. Prog Cardiovasc Dis. 2023; 76: 31–37. DOI: 10.1016/j.pcad.2023.01.003.</mixed-citation><mixed-citation xml:lang="en">Ashton RE, Philips BE, Faghy M. The acute and chronic implications of the COVID-19 virus on the cardiovascular system in adults: A systematic review. Prog Cardiovasc Dis. 2023; 76: 31–37. DOI: 10.1016/j.pcad.2023.01.003.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Sandoval Y, Januzzi JL, Jr, Jaffe AS. Cardiac troponin for assessment of myocardial injury in COVID-19: JACC review topic of the week. J Am CollCardiol. 2020; 76: 1244–58.</mixed-citation><mixed-citation xml:lang="en">Sandoval Y, Januzzi JL, Jr, Jaffe AS. Cardiac troponin for assessment of myocardial injury in COVID-19: JACC review topic of the week. J Am CollCardiol. 2020; 76: 1244–58.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Carfi A, Bernabei R, Landi F, et al. Persistent symptoms in patients after acute COVID-19. JAMA. 2020; 324: 603–5.</mixed-citation><mixed-citation xml:lang="en">Carfi A, Bernabei R, Landi F, et al. Persistent symptoms in patients after acute COVID-19. JAMA. 2020; 324: 603–5.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Logue JK, Franko NM, McCulloch DJ, et al. Sequelae in adults at 6 months after COVID-19 infection. JAMA Netw Open. 2021; 4.</mixed-citation><mixed-citation xml:lang="en">Logue JK, Franko NM, McCulloch DJ, et al. Sequelae in adults at 6 months after COVID-19 infection. JAMA Netw Open. 2021; 4.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Giustino G, Croft LB, Stefanini GG, et al. Characterization of myocardial injury in patients with COVID-19. J Am CollCardiol. 2020; 76: 2043–55.</mixed-citation><mixed-citation xml:lang="en">Giustino G, Croft LB, Stefanini GG, et al. Characterization of myocardial injury in patients with COVID-19. J Am CollCardiol. 2020; 76: 2043–55.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Puntmann VO, Carerj ML, Wieters I, et al. Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from coronavirus disease 2019 (COVID-19) JAMA Cardiol. 2020; 5: 1265–73.</mixed-citation><mixed-citation xml:lang="en">Puntmann VO, Carerj ML, Wieters I, et al. Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from coronavirus disease 2019 (COVID-19) JAMA Cardiol. 2020; 5: 1265–73.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">O'Connor FG. COVID-19: Return to sport or strenuous activity following infection. UpToDate. Literature review current through: May 2022. This topic last updated: Mar 28, 2022.</mixed-citation><mixed-citation xml:lang="en">O'Connor FG. COVID-19: Return to sport or strenuous activity following infection. UpToDate. Literature review current through: May 2022. This topic last updated: Mar 28, 2022.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Ali-Ahmed F, Dalgaard F, Al-Khatib SM. Sudden cardiac death in patients with myocarditis: evaluation, risk stratification, and management. Am Heart J. 2020; 220: 29–40.</mixed-citation><mixed-citation xml:lang="en">Ali-Ahmed F, Dalgaard F, Al-Khatib SM. Sudden cardiac death in patients with myocarditis: evaluation, risk stratification, and management. Am Heart J. 2020; 220: 29–40.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Phelan D, Kim JH, Elliott MD, et al. Screening of potential cardiac involvement in competitive athletes recovering from COVID-19: an expert consensus statement. JACC Cardiovasc Imaging. 2020; 13 (12): 2635–52. DOI: 10.1016/j.jcmg.2020.10.005.</mixed-citation><mixed-citation xml:lang="en">Phelan D, Kim JH, Elliott MD, et al. Screening of potential cardiac involvement in competitive athletes recovering from COVID-19: an expert consensus statement. JACC Cardiovasc Imaging. 2020; 13 (12): 2635–52. DOI: 10.1016/j.jcmg.2020.10.005.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Pelliccia A, Solberg EE, Papadakis M, et al. Recommendations for participation in competitive and leisure time sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC). Eur Heart J. 2019; 40 (1): 19–33.</mixed-citation><mixed-citation xml:lang="en">Pelliccia A, Solberg EE, Papadakis M, et al. Recommendations for participation in competitive and leisure time sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC). Eur Heart J. 2019; 40 (1): 19–33.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Wilson MG, Hull JH, Rogers J, et al. Cardiorespiratory considerations for return-to-play in elite athletes after COVID-19 infection: a practical guide for sport and exercise medicine physicians. Br J Sports Med. 2020; 54 (19): 1157–61. DOI: 10.1136/bjsports-2020-102710.</mixed-citation><mixed-citation xml:lang="en">Wilson MG, Hull JH, Rogers J, et al. Cardiorespiratory considerations for return-to-play in elite athletes after COVID-19 infection: a practical guide for sport and exercise medicine physicians. Br J Sports Med. 2020; 54 (19): 1157–61. DOI: 10.1136/bjsports-2020-102710.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Dove J, Gage A, Kriz P, Tabaddor RR, Owens BD. COVID-19 and review of current recommendations for return to athletic play. R I Med J. 2020; 103 (7): 15–20. Published 2020 Sep 1.</mixed-citation><mixed-citation xml:lang="en">Dove J, Gage A, Kriz P, Tabaddor RR, Owens BD. COVID-19 and review of current recommendations for return to athletic play. R I Med J. 2020; 103 (7): 15–20. Published 2020 Sep 1.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Moulson N, Petek BJ, Drezner JA, et al. SARS-CoV-2 Cardiac Involvement in Young Competitive Athletes. Circulation. 2021; 144 (4): 256–66. DOI: 10.1161/CIRCULATIONAHA.121.054824.</mixed-citation><mixed-citation xml:lang="en">Moulson N, Petek BJ, Drezner JA, et al. SARS-CoV-2 Cardiac Involvement in Young Competitive Athletes. Circulation. 2021; 144 (4): 256–66. DOI: 10.1161/CIRCULATIONAHA.121.054824.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Kim JY, Han K, Suh YJ. Prevalence of abnormal cardiovascular magnetic resonance findings in recovered patients from COVID-19: a systematic review and meta-analysis. J Cardiovasc Magn Reson. 2021; 23 (1): 100. DOI: 10.1186/s12968-021- 00792-7.</mixed-citation><mixed-citation xml:lang="en">Kim JY, Han K, Suh YJ. Prevalence of abnormal cardiovascular magnetic resonance findings in recovered patients from COVID-19: a systematic review and meta-analysis. J Cardiovasc Magn Reson. 2021; 23 (1): 100. DOI: 10.1186/s12968-021- 00792-7.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Van Hattum JC, Spies JL, Verwijs SM, et al. Cardiac abnormalities in athletes after SARS-CoV-2 infection: a systematic review. BMJ Open Sport Exerc Med. 2021; 7 (4): e001164. Published 2021 Oct 12. DOI: 10.1136/bmjsem-2021-001164.</mixed-citation><mixed-citation xml:lang="en">Van Hattum JC, Spies JL, Verwijs SM, et al. Cardiac abnormalities in athletes after SARS-CoV-2 infection: a systematic review. BMJ Open Sport Exerc Med. 2021; 7 (4): e001164. Published 2021 Oct 12. DOI: 10.1136/bmjsem-2021-001164.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Kelle S, Bucciarelli-Ducci C, Judd RM, et al. Society for Cardiovascular Magnetic Resonance (SCMR) recommended CMR protocols for scanning patients with active or convalescent phase COVID-19 infection. J Cardiovasc Magn Reson. 2020; 22: 61.</mixed-citation><mixed-citation xml:lang="en">Kelle S, Bucciarelli-Ducci C, Judd RM, et al. Society for Cardiovascular Magnetic Resonance (SCMR) recommended CMR protocols for scanning patients with active or convalescent phase COVID-19 infection. J Cardiovasc Magn Reson. 2020; 22: 61.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Małek LA, Bucciarelli-Ducci C. Myocardial fibrosis in athletes- Current perspective. Clin Cardiol. 2020; 43 (8): 882–8.</mixed-citation><mixed-citation xml:lang="en">Małek LA, Bucciarelli-Ducci C. Myocardial fibrosis in athletes- Current perspective. Clin Cardiol. 2020; 43 (8): 882–8.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Ahmad SA, Khalid N, Shlofmitz E, Chhabra L. Myocardial fibrosis and arrhythmogenesis in elite athletes. Clin Cardiol. 2019; 42 (9): 788.</mixed-citation><mixed-citation xml:lang="en">Ahmad SA, Khalid N, Shlofmitz E, Chhabra L. Myocardial fibrosis and arrhythmogenesis in elite athletes. Clin Cardiol. 2019; 42 (9): 788.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Zhang CD, Xu SL, Wang XY, Tao LY, Zhao W, Gao W. Prevalence of myocardial fibrosis in intensive endurance training athletes: a systematic review and meta-analysis. Front Cardiovasc Med. 2020; 7: 585692.</mixed-citation><mixed-citation xml:lang="en">Zhang CD, Xu SL, Wang XY, Tao LY, Zhao W, Gao W. Prevalence of myocardial fibrosis in intensive endurance training athletes: a systematic review and meta-analysis. Front Cardiovasc Med. 2020; 7: 585692.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Rajpal S, Tong MS, Borchers J, et al. Cardiovascular magnetic resonance findings in competitive athletes recovering from COVID-19 infection. JAMA Cardiol. 2021; 6 (1): 116–8. DOI: 10.1001/jamacardio.2020.4916.</mixed-citation><mixed-citation xml:lang="en">Rajpal S, Tong MS, Borchers J, et al. Cardiovascular magnetic resonance findings in competitive athletes recovering from COVID-19 infection. JAMA Cardiol. 2021; 6 (1): 116–8. DOI: 10.1001/jamacardio.2020.4916.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Gluckman TJ, Bhave NM, Allen LA, et al. 2022 ACC Expert consensus decision pathway on cardiovascular sequelae of COVID-19 in adults: myocarditis and other myocardial involvement, post-acute sequelae of SARS-CoV-2 infection, and return to play: a report of the American College of Cardiology Solution Set Oversight Committee. J Am Coll Cardiol. 2022; 79 (17): 1717–56.</mixed-citation><mixed-citation xml:lang="en">Gluckman TJ, Bhave NM, Allen LA, et al. 2022 ACC Expert consensus decision pathway on cardiovascular sequelae of COVID-19 in adults: myocarditis and other myocardial involvement, post-acute sequelae of SARS-CoV-2 infection, and return to play: a report of the American College of Cardiology Solution Set Oversight Committee. J Am Coll Cardiol. 2022; 79 (17): 1717–56.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Daniels CJ, Rajpal S, Greenshields JT, et al. Prevalence of clinical and subclinical myocarditis in competitive athletes with recent SARS-CoV-2 infection: results from the Big Ten COVID-19 Cardiac Registry. JAMA Cardiol. 2021; 6: 1078–87.</mixed-citation><mixed-citation xml:lang="en">Daniels CJ, Rajpal S, Greenshields JT, et al. Prevalence of clinical and subclinical myocarditis in competitive athletes with recent SARS-CoV-2 infection: results from the Big Ten COVID-19 Cardiac Registry. JAMA Cardiol. 2021; 6: 1078–87.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Brito D, Meester S, Yanamala N, et al. High prevalenceof pericardial involvement in college studentathletes recovering from COVID-19. J Am Coll Cardiol Img. 2021; 14: 541–55.</mixed-citation><mixed-citation xml:lang="en">Brito D, Meester S, Yanamala N, et al. High prevalenceof pericardial involvement in college studentathletes recovering from COVID-19. J Am Coll Cardiol Img. 2021; 14: 541–55.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Clark DE, Parikh A, Dendy JM, et al. COVID-19 Myocardial Pathology Evaluation in Athletes With Cardiac Magnetic Resonance (COMPETE CMR). Circulation. 2021; 143: 609–12.</mixed-citation><mixed-citation xml:lang="en">Clark DE, Parikh A, Dendy JM, et al. COVID-19 Myocardial Pathology Evaluation in Athletes With Cardiac Magnetic Resonance (COMPETE CMR). Circulation. 2021; 143: 609–12.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Hwang CE, Kussman A, Christle JW, et al. Findingsfrom cardiovascular evaluation of National Collegiate Athletic Association Division I collegiate studentathletesafter asymptomatic or mildly symptomatic SARS-CoV-2 infection. Clin J Sport Med. Published online June 24, 2021.</mixed-citation><mixed-citation xml:lang="en">Hwang CE, Kussman A, Christle JW, et al. Findingsfrom cardiovascular evaluation of National Collegiate Athletic Association Division I collegiate studentathletesafter asymptomatic or mildly symptomatic SARS-CoV-2 infection. Clin J Sport Med. Published online June 24, 2021.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Starekova J, Bluemke DA, Bradham WS, et al. Evaluation for myocarditis in competitive student athletes recovering from coronavirus disease 2019 with cardiac magnetic resonance imaging. JAMA Cardiol. 2021; 6: 945–50.</mixed-citation><mixed-citation xml:lang="en">Starekova J, Bluemke DA, Bradham WS, et al. Evaluation for myocarditis in competitive student athletes recovering from coronavirus disease 2019 with cardiac magnetic resonance imaging. JAMA Cardiol. 2021; 6: 945–50.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Martinez MW, Tucker AM, Bloom OJ, 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; 6: 745–52.</mixed-citation><mixed-citation xml:lang="en">Martinez MW, Tucker AM, Bloom OJ, 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; 6: 745–52.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Valverde I, Singh Y, Sanchez-de-Toledo J, et al. Acute cardiovascular manifestations in 286 children with multisystem inflammatory syndrome associated with COVID-19 infection in Europe. Circulation. 2021; 143: 21–32.</mixed-citation><mixed-citation xml:lang="en">Valverde I, Singh Y, Sanchez-de-Toledo J, et al. Acute cardiovascular manifestations in 286 children with multisystem inflammatory syndrome associated with COVID-19 infection in Europe. Circulation. 2021; 143: 21–32.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Sirico D, Basso A, Reffo E, et al. Early echocardiographic and cardiac MRI findings in multisystem inflammatory syndrome in children. J Clin Med. 2021; 10 (15): 3360.</mixed-citation><mixed-citation xml:lang="en">Sirico D, Basso A, Reffo E, et al. Early echocardiographic and cardiac MRI findings in multisystem inflammatory syndrome in children. J Clin Med. 2021; 10 (15): 3360.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Palabiyik F, Akcay N, Sevketoglu E, et al. Imaging of multisystem inflammatory disein children (MIS-C) associated With COVID-19. Acad Radiol. 2021; 28: 1200–8.</mixed-citation><mixed-citation xml:lang="en">Palabiyik F, Akcay N, Sevketoglu E, et al. Imaging of multisystem inflammatory disein children (MIS-C) associated With COVID-19. Acad Radiol. 2021; 28: 1200–8.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Cavigli L, et al. A prospective study on the consequences of SARS- CoV-2 infection on the heart of young adult competitive athletes: implications for a safe return-to-play. International journal of cardiology. 2021; 336: 130–6. DOI: 10.1016/j.ijcard.2021.05.042.</mixed-citation><mixed-citation xml:lang="en">Cavigli L, et al. A prospective study on the consequences of SARS- CoV-2 infection on the heart of young adult competitive athletes: implications for a safe return-to-play. International journal of cardiology. 2021; 336: 130–6. DOI: 10.1016/j.ijcard.2021.05.042.</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Modica G, Bianco M, Sollazzo F, et al. Myocarditis in athletes recovering from COVID-19: a systematic review and meta- analysis. Int J Environ Res Public Health. 2022; 19 (7): 4279.</mixed-citation><mixed-citation xml:lang="en">Modica G, Bianco M, Sollazzo F, et al. Myocarditis in athletes recovering from COVID-19: a systematic review and meta- analysis. Int J Environ Res Public Health. 2022; 19 (7): 4279.</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Ibarrola M, Dávolos I. Myocarditis in athletes after COVID-19 infection: the heart is not the only place to screen. Sports Med Health Sci. 2020; 2: 172–3.</mixed-citation><mixed-citation xml:lang="en">Ibarrola M, Dávolos I. Myocarditis in athletes after COVID-19 infection: the heart is not the only place to screen. Sports Med Health Sci. 2020; 2: 172–3.</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Chevalier L, Cochet H, Mahida S, et al. ASCCOVID investigators. Resuming training in high-level athletes after mild COVID-19 infection: a multicenter prospective study (ASCCOVID-19). Sports Med Open. 2022; 8 (1): 83. DOI: 10.1186/s40798-022-00469-0.</mixed-citation><mixed-citation xml:lang="en">Chevalier L, Cochet H, Mahida S, et al. ASCCOVID investigators. Resuming training in high-level athletes after mild COVID-19 infection: a multicenter prospective study (ASCCOVID-19). Sports Med Open. 2022; 8 (1): 83. DOI: 10.1186/s40798-022-00469-0.</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Gamal DM, Ibrahim RA, Samaan SF. Post COVID-19 syndrome in a prospective cohort study of Egyptian patients. Egypt Rheumatol Rehabil. 2022; 49 (1): 12. Available from: https://doi.org/10.1186/ s43166-021-00104-y.</mixed-citation><mixed-citation xml:lang="en">Gamal DM, Ibrahim RA, Samaan SF. Post COVID-19 syndrome in a prospective cohort study of Egyptian patients. Egypt Rheumatol Rehabil. 2022; 49 (1): 12. Available from: https://doi.org/10.1186/ s43166-021-00104-y.</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">Nabavi N. Long COVID: how to define it and how to manage it. BMJ. 2020; 370: m3489. Published 2020 Sep 7. DOI: 10.1136/ bmj.m3489.</mixed-citation><mixed-citation xml:lang="en">Nabavi N. Long COVID: how to define it and how to manage it. BMJ. 2020; 370: m3489. Published 2020 Sep 7. DOI: 10.1136/ bmj.m3489.</mixed-citation></citation-alternatives></ref><ref id="cit50"><label>50</label><citation-alternatives><mixed-citation xml:lang="ru">Giusto E, Asplund CA. Persistent COVID and a return to sport. Curr Sports Med Rep. 2022; 21 (3): 100–4.</mixed-citation><mixed-citation xml:lang="en">Giusto E, Asplund CA. Persistent COVID and a return to sport. Curr Sports Med Rep. 2022; 21 (3): 100–4.</mixed-citation></citation-alternatives></ref><ref id="cit51"><label>51</label><citation-alternatives><mixed-citation xml:lang="ru">Blitshteyn S, Whitelaw S. Postural orthostatic tachycardia syndrome (POTS) and other autonomic disorders after COVID-19 infection: a case series of 20 patients. Immunol Res. 2021; 69 (2): 205–11. DOI: 10.1007/s12026-021-09185-5.</mixed-citation><mixed-citation xml:lang="en">Blitshteyn S, Whitelaw S. Postural orthostatic tachycardia syndrome (POTS) and other autonomic disorders after COVID-19 infection: a case series of 20 patients. Immunol Res. 2021; 69 (2): 205–11. DOI: 10.1007/s12026-021-09185-5.</mixed-citation></citation-alternatives></ref><ref id="cit52"><label>52</label><citation-alternatives><mixed-citation xml:lang="ru">Phelan D, Kim JH, Chung EH. A game plan for the resumption of sport and exercise after coronavirus disease 2019 (COVID-19) infection. JAMA Cardiol. 2020; 5: 1085–6.</mixed-citation><mixed-citation xml:lang="en">Phelan D, Kim JH, Chung EH. A game plan for the resumption of sport and exercise after coronavirus disease 2019 (COVID-19) infection. JAMA Cardiol. 2020; 5: 1085–6.</mixed-citation></citation-alternatives></ref><ref id="cit53"><label>53</label><citation-alternatives><mixed-citation xml:lang="ru">Baggish A, Drezner JA, Kim J, Martinez M, Prutkin JM. The resurgence of sport in the wake of COVID-19: cardiac considerations in competitive athletes. Br J SportsMed. 2020;54: 1130–1.</mixed-citation><mixed-citation xml:lang="en">Baggish A, Drezner JA, Kim J, Martinez M, Prutkin JM. The resurgence of sport in the wake of COVID-19: cardiac considerations in competitive athletes. Br J SportsMed. 2020; 54: 1130–1.</mixed-citation></citation-alternatives></ref><ref id="cit54"><label>54</label><citation-alternatives><mixed-citation xml:lang="ru">Kim JH, Levine BD, Phelan D, et al. Coronavirus disease 2019 and the athletic heart: emerging perspectives on pathology, risks, and return to play. JAMA Cardiol. 2021; 6: 219–27.</mixed-citation><mixed-citation xml:lang="en">Kim JH, Levine BD, Phelan D, et al. Coronavirus disease 2019 and the athletic heart: emerging perspectives on pathology, risks, and return to play. JAMA Cardiol. 2021; 6: 219–27.</mixed-citation></citation-alternatives></ref><ref id="cit55"><label>55</label><citation-alternatives><mixed-citation xml:lang="ru">Feldstein LR, Rose EB, Horwitz SM, et al. Multisystem inflammatory syndrome in U.S. children and adolescents. N Engl J Med. 2020; 383: 334–46.</mixed-citation><mixed-citation xml:lang="en">Feldstein LR, Rose EB, Horwitz SM, et al. Multisystem inflammatory syndrome in U.S. children and adolescents. N Engl J Med. 2020; 383: 334–46.</mixed-citation></citation-alternatives></ref><ref id="cit56"><label>56</label><citation-alternatives><mixed-citation xml:lang="ru">Maron BJ, Udelson JE, Bonow RO. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: Task Force 3: hypertrophic cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy and other cardiomyopathies, and myocarditis: a scientific statement from the American Heart Association and American College of Cardiology. J Am Coll Cardiol. 2015; 66: 2362–71.</mixed-citation><mixed-citation xml:lang="en">Maron BJ, Udelson JE, Bonow RO. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: Task Force 3: hypertrophic cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy and other cardiomyopathies, and myocarditis: a scientific statement from the American Heart Association and American College of Cardiology. J Am Coll Cardiol. 2015; 66: 2362–71.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
