Figure 1

The shared decision-making approach for identification, intervention, and management of an ECG abnormality. A shared decision-making approach involving a choice awareness, tiered approach to screening, options dialogue, and decision discussion to determine sports participation or restriction was used. Green arrows indicate “yes.” Red arrows indicate “no.” Dotted connection lines indicate the pathway to sports participation/clearance taken during management of this case. ECG, electrocardiogram; EP, electrophysiology; WPW, Wolff-Parkinson-White syndrome.