Abstract

Sudden death (SD) in young sports participants remains a visible and riveting issue that continues to command attention in the general public and medical community. 1 Maron B.J. Sudden death in young athletes. N Engl J Med. 2003; 349: 1064-1075 Crossref PubMed Scopus (1127) Google Scholar While there is a general agreement that primary prevention preparticipation screening for cardiovascular disease in apparently healthy young populations is justified and desirable, determining the most effective and practical strategy has become an intense public health and even societal debate. 2 Corrado D. Pelliccia A. Bjørnstad H.H. et al. Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Eur Heart J. 2005; 26: 516-524 Crossref PubMed Scopus (1010) Google Scholar , 3 Maron B.J. Thompson P.D. Ackerman M.J. et al. Recommendations and considerations related to preparticipation screening for cardiovascular abnormalities in competitive athletes: update 2007. Circulation. 2007; 115: 1643-1655 Crossref PubMed Scopus (847) Google Scholar Based on controversial initiatives in Italy, considerable interest has focused on screening competitive athletes with 12-lead electrocardiograms (ECGs). 4 Corrado D. Basso C. Pavei A. Michieli P. Schiavon M. Thiene G. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA. 2006; 296: 1593-1601 Crossref PubMed Scopus (1180) Google Scholar However, such proposals are deceptively complex and have generated misunderstanding.

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