Should preparticipation physicals for school-age athletes include routine EKGs?
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It is unclear whether screening reduces the risk of sudden cardiac death (SCD); US experts do not 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).
Evidence Based Practice 16(5): 01-02.