Preparticipation cardiac screening in athletes: still a diamond in the rough? - Takeaways - MDSpire

Preparticipation cardiac screening in athletes: still a diamond in the rough?

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  • Aaron Baggish

  • October 14, 2025

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  • 1

    Preparticipation screening (PPS) for cardiovascular disease in athletes is widely recommended but remains controversial regarding its implementation.

  • 2

    A study analyzed 111,062 PPS exams, revealing that 7.6% required further evaluation, with higher abnormal rates in older athletes.

  • 3

    Only 0.34% of athletes were classified with high-risk cardiovascular conditions, with prevalence increasing with age.

  • 4

    The cost of PPS and second-line evaluations varied by age, being lowest for young athletes (€60) and highest for those over 35 (€107).

  • 5

    The study highlights the need for robust data to evaluate the effectiveness and resource utilization of PPS in competitive athletes.

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