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Although evidence is limited, the purpose of this article is to summarize the data pertaining to acute and chronic cardiovascular effects of SRCs, and to determine whether there are objective metrics that could improve currently used RTP protocols. Research shows that SRCs cause cardiovascular autonomic nervous system (CV\u2010ANS) dysfunction induced by decreased baroreceptor sensitivity (BRS). This disturbance persists past the point of clinical symptom resolution and can worsen through subsequent exertion, which may impact long\u2010term recovery. Further studies are needed to establish the most appropriate physiologic metrics for analyzing recovery post\u2010SRC and whether the addition of physiologic measures to RTP guidelines improves recovery from these injuries. This is an understudied area that carries important clinical implications. Larger and more robust trials are warranted to inform the development of guidelines that should focus on lessening the compounding effects of multiple concussions and improve the management of SRCs.<\/jats:p>","DOI":"10.1002\/pmrj.12686","type":"journal-article","created":{"date-parts":[[2021,8,7]],"date-time":"2021-08-07T17:29:25Z","timestamp":1628357365000},"page":"1219-1226","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Cardiovascular sequelae of <scp>sports\u2010related<\/scp> concussions"],"prefix":"10.1002","volume":"14","author":[{"given":"Halli","family":"Krzyzaniak","sequence":"first","affiliation":[{"name":"Faculty of Medicine Cumming School of Medicine  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0650-0260","authenticated-orcid":false,"given":"Ali","family":"Fatehi Hassanabad","sequence":"additional","affiliation":[{"name":"Department of Cardiac Sciences, Libin Cardiovascular Institute Cumming School of Medicine  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,8]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-097393"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-52.1.12"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-51.5.02"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-015-0519-7"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2010.08.006"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000505424"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097791"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.19.2549"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699050310001617352"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2012.2399"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000316421.58568.AD"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-199804000-00008"},{"key":"e_1_2_11_14_1","unstructured":"Prevention CfDCaManaging Return to Activities | HEADS UP| CDC Injury Center 2018. 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