Regular physical activity (PA), including systematic training, is an important component of the treatment of most cardiovascular diseases (CVDs) and is associated with a reduction in mortality from cardiovascular (CV) causes and overall mortality. Physicians should promote physical activity in all patients during most routine examinations. During examinations, a balance should be sought between the multiple benefits of PA, the small risk of sudden death, and the patient's goals. The current document promotes shared decision making with the athlete-patient and respect for the autonomy of the individual after receiving detailed information about the impact of sport and risk of potential complications and/or adverse events.