This session, held during the HRS Scientific Sessions in Chicago, explored the constantly evolving global landscape of sports electrophysiology, with a focus on arrhythmias in athletes and the role of exercise in cardiovascular health. Experts from around the world discussed the benefits of physical activity—including its positive effects on atrial fibrillation and overall well-being—while also addressing key issues such as physiological monitoring, sports safety for individuals with cardiovascular disease, and the comprehensive management of arrhythmias in competitive and recreational athletes. The session also highlighted global efforts in the prevention of sudden cardiac death (SCD), with perspectives extending beyond athletes to broader populations of all ages.