Current recommendations for cardiovascular screening call for a careful history and physical examination performed by a knowledgeable health care provider. Specialized testing is recommended only in cases that warrant further evaluation.
A sudden death is at least as devastating to the primary care/sports medicine community.
Physicians are humbled when an asymptomatic athlete with an apparently normal clinical examination dies suddenly.
1. Estimated death rates were fivefold higher in male athletes than in female athletes (7.47 versus 1.33 per million athletes per year).
2. Estimated death rates were twofold higher in male college athletes than in male high school athletes (14.5 versus 6.6 per million athletes per year).
3. Noncardiac causes of death accounted for 22 percent of the cases.