In recent years the growth of athletes and sports person’s has been increased more than double the rate. In general, we all know that the reduces the risk of and . The desire of sports is raised in children and with heart disease. But, at the same situation vigorous physical exercise increases the risk of CV outcomes in competitive athletes and high outcome people (CAHOP). These CAHOP people are always at an intense risk of adverse CV outcomes and also inherited . A multidisciplinary team of trained coaches, trainers, physical therapists, primary care sports medicine physician and orthopedic surgeon functions with CAHOP people. In recent days the situation arose for a demand of CV specialist in the team. These members must have the essential skills necessary to practice sports . By seeing the demand a separate council has been started at American College of Cardiology – Sports and Exercise Council. In just a short span of 2 years, this council has reached up to 4000 members which show the increased interest of people in the emerging risks and innovations. This CV attack is also termed as . Commonly, sudden cardiac death is triggered by a malignant tachyarrhythmia such as (VF) or ventricular tachycardia degenerating into VF. There is typically an underlying substrate for arrhythmia trigger, such as , , , or , among others.