A prospective study on the consequences of SARS-CoV-2 infection on the heart of young adult competitive athletes: Implications for a safe return-to-play

•After SARS-CoV-2 infection, cardio-pulmonary complications can occur.•Before resumption of sports competitions, a screening before return-to-play has been recommended.•A screening based on symptoms, ECG and exercise testing was able to detect cardiovascular complications.•Echocardiography should be reserved to athletes with cardiac symptoms or uncommon arrhythmias.•Blood testing, spirometry and CPET after asymptomatic/mildly symptomatic COVID-19 should be performed only in selected cases.