Preparticipation Cardiovascular Screening for US Collegiate Student-Athletes

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Abstract
The occurrence of unexpected sudden death in student-athletes due to unsuspected cardiovascular disease1-6 is an uncommon but often highly visible event that has heightened public concern and that of the medical community.7,8 Indeed, such catastrophes have stimulated considerable interest in the role of preparticipation screening.9-12 In this regard, we previously analyzed the status of screening in US high schools and judged that process to be deficient.10 Because the status of preparticipation cardiovascular screening available to student-athletes in college is unresolved, we believe it is timely to evaluate the strengths and limitations of this process.