Sports cardiology bridges athlete-centered care and population exercise physiology to balance performance and cardiac safety. The Sports Cardiology and Exercise Physiology session addresses athlete screening, sudden cardiac death prevention, safe return-to-play algorithms, and the cardiovascular effects of training across the lifespan. Presentations cover ECG and imaging interpretation in athletes, novel screening tools, exercise prescription for patients with cardiac disease, and the role of wearable technology in monitoring performance and health. Research on physiological vs pathological remodeling, sex- and age-specific adaptations, and overtraining syndromes will be presented alongside case-based discussions of elite and recreational athletes. The session also explores exercise as medicine—how structured activity programs reduce cardiovascular risk in general populations and in patients with established disease. Practical workshops will teach pre-participation screening protocols, emergency action planning and multidisciplinary approaches for sports physicians, cardiologists and physiologists—aligned with the broader Sports Cardiology Conference objectives.