EDUCATION IN HEART
General cardiology
Screening athletes for heart disease
Correspondence to:
Correspondence to:
Professor Michael H Crawford
University of California, San Francisco, Division of Cardiology, 505 Parnassus Avenue, Box 0124, San Francisco, CA 94143, USA; crawfordm@medicine.ucsf.edu
| The first 150 words of the full text of this article appear below. |
The goals of evaluating individuals for exercise and sports participation are shown in table 1
. The most important reason to screen for heart disease is to prevent sudden, unexpected death. Heart disease may also lead to sudden incapacity which may result in injuries, and pre-existing heart disease may be exacerbated by exercise. Also, almost all states in the USA require some type of pre-participation screening of participants in organised sports. Since there are more athletes at educational institutions than in amateur organisations and professional organisations, most physicians encounter this issue in association with high school and university sports. It has been estimated that there are 5 million active athletes at the high school, university, professional and masters levels in the United States.1 The sudden death rate among high school athletes is 1:100200 000; among marathon runners 1:50 000; and among recreational joggers 1:15 000.2 Thus, athletic sudden
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