Should preparticipation physicals for school-aged athletes include routine EKGs?
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Although some European and international experts recommend that all athletes undergo preparticipation electrocardiogram (EKG) screening, it's unclear whether screening reduces the risk of sudden cardiac death (SCD); US experts don't recommend it routinely for school-aged athletes (strength of recommendation [SOR]:C, observational studies and expert opinion). However, further cardiac work-up, including EKG, is indicated if concern exists about increased cardiovascular risk (SOR: C, expert opinion).
Journal of Family Practice, 62(3) 2013: 154+.