Sudden cardiac death in young athletes is a rare but tragic occurrence impacting families,
friends, institutions, and communities. The causes of sudden cardiac death often go
undetected because of the vague associated symptoms. High school athletes are required
to complete a preparticipation physical examination (PPE). However, screening guidelines
at the state level are flexible and can lead to an inconsistent cardiovascular assessment
of student-athletes. A review of State High School Association guidelines for all
50 states and the District of Columbia evaluated consistency of current PPE policies
and found variation in frequency, forms utilized, and who can complete the physical.
KEY WORDS
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References
American Heart Association. (2021). Pre-participation cardiovascular screening of young competitive athletes: Policy guidance. https://www.heart.org/-/media/Files/About-Us/Policy-Research/Policy-Positions/Healthy-Schools-and-Childhood-Obesity/Athlete-Screening.pdf
- Focus on subspecialities: Sports physicals: More than a signature.AAP News. 2016;
- State-specific differences in school sports preparticipation physical evaluation policies.Pediatrics. 2015; 135: 26-32https://doi.org/10.1542/peds.2014-1451
- Appropriate medical care standards for organizations sponsoring athletic activity for the secondary school-aged athlete: A summary statement.Journal of Athletic Training. 2019; 54: 741-748https://doi.org/10.4085/1062-6050-544-18
- The preparticipation physical evaluation.Pediatric Annals. 2017; 46: e85-e92https://doi.org/10.3928/19382359-20170222-01
- The preparticipation sports evaluation.American Family Physician. 2015; 92: 371-376
- 2021-22 NFHS handbook.2021
Article info
Publication history
Published online: January 09, 2023
Publication stage
In Press Corrected ProofFootnotes
Conflicts of interest: None to report.
Identification
Copyright
Copyright © 2022 by the National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.
