Except that someone with a heart defect is only a hazard to themselves and, IMHO, people have a right to risk their own lives if they want to.
Im not as sure about that
my sport is hockey played at a fairly high competitve level and i have played for over 30 years with as much passion and fervour as anyone who would rather die than give up running - but reflecting on what would i do with a diagnosis of "may be at risk from Sudden Cardiac Death during high intensity excercise" - as much as I might be happy to drop dead doing the thing I love than give it up -it doesnt just affect me - it would affect my teammates, the players around me, match officials, spectators(some of whom are kids) the pitch staff, the people who would try and resuscitate me, the paramedics, A&E staff (let alone friends and family) maybe they are part of the wider consideration ..?
and (to really play the Devils Advocate!
) if i was diagnosed with a potentially fatal abnormality and decide to risk it and play on - should i carry an advance Do Not attempt Resuscitation notice to spare all that distress and frankly not waste the Emergency services time when they could be saving someone else who didnt have the luxury of that choice?