RT Journal A1 Johnson JN, Ackerman MJ T1 COmpetitive sports participation in athletes with congenital long qt syndrome JF JAMA JO JAMA YR 2012 FD August 22 VO 308 IS 8 SP 764 OP 765 DO 10.1001/jama.2012.9334 UL http://dx.doi.org/10.1001/jama.2012.9334 AB To the Editor: Competitive sports participation for athletes with long QT syndrome (LQTS) is guided by the 36th Bethesda Conference, which recommends that patients with either (1) symptoms, (2) a corrected QT interval (QTc) greater than 470 milliseconds (males) or 480 milliseconds (females), or (3) an implantable cardioverter-defibrillator (ICD) not participate in most sports.1 The European Society of Cardiology guidelines are more restrictive, disqualifying athletes from all sports based solely on a stringent QTc cutoff (>440 milliseconds in males, >460 milliseconds in females).2 We sought to determine the outcomes of patients with LQTS who chose to remain athletes against guideline recommendations.