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Interassociation consensus statement on cardiovascular care of college student-athletes
  1. Brian Hainline1,
  2. Jonathan Drezner2,
  3. Aaron Baggish3,
  4. Kimberly G Harmon2,
  5. Michael S Emery4,
  6. Robert J Myerburg5,
  7. Eduardo Sanchez6,
  8. Silvana Molossi7,
  9. John T Parsons1,
  10. Paul D Thompson8
  1. 1Sport Science Institute, National Collegiate Athletic Association, Indianapolis, Indiana, USA
  2. 2Department of Family Medicine, University of Washington, Seattle, Washington, USA
  3. 3Cardiovascular Performance Program, Massachusetts General Hospital, Boston, Massachusetts, USA
  4. 4Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis, Indiana, USA
  5. 5Division of Cardiology, University of Miami Miller School of Medicine, Miami, Florida, USA
  6. 6American Heart Association, Dallas, Texas, USA
  7. 7Division of Pediatric Cardiology, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA
  8. 8Division of Cardiology, Hartford Hospital, Hartford, Connecticut, USA
  1. Correspondence to Dr Brian Hainline, Sport Science Institute, National Collegiate Athletic Association, P.O. Box 6222, Indianapolis, IN 46206-6222, USA; bhainline{at}


Cardiovascular evaluation and care of college student-athletes is gaining increasing attention from both the public and medical communities. Emerging strategies include screening of the general athlete population, recommendations of permissible levels of participation by athletes with identified cardiovascular conditions and preparation for responding to unanticipated cardiac events in athletic venues. The primary focus has been sudden cardiac death and the usefulness of screening with or without advanced cardiac screening. The National Collegiate Athletic Association convened a multidisciplinary task force to address cardiovascular concerns in collegiate student-athletes, and to develop consensus for an interassociation statement. This document summarises the task force deliberations and follow-up discussions, and includes available evidence on cardiovascular risk, preparticipation evaluation and the recognition of and response to cardiac arrest. Future recommendations for cardiac research initiatives, education and collaboration are also provided.

  • Cardiovascular

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  • This paper is co-published with the Journal of the American College of Cardiology

  • Correction notice This paper has been amended since it was published Online First. A co-publication statement has been added on the first page.

  • Funding Funding for the multidisciplinary task force, held at the National Collegiate Athletic Association (NCAA) headquarters in September 2014, was provided by the NCAA Sport Science Institute. The task force included representatives from the following affiliations: American Academy of Pediatrics' Council on Sports Medicine and Physical Fitness; National Athletic Trainers' Association; College Athletic Trainers' Society; American Medical Society for Sports Medicine; American College of Cardiology Sports and Exercise Cardiology Leadership Council; National Federation of State High School Associations; American Orthopaedic Society for Sports Medicine; NCAA Student-Athlete Advisory Council; American Osteopathic Academy of Sports Medicine, National Strength and Conditioning Association; Collegiate Strength and Conditioning Coaches Association; American Heart Association; NCAA Committee on Competitive Safeguards and Medical Aspects of Sports; and the American College of Sports Medicine. PDT has received research support from Genomas, Roche, Sanofi, Regeneron, Esperion, Amarin and Pfizer; has served as a consultant for Amgen, Regeneron, Merck, Esperion and Sanofi; has received speaker honoraria from Merck, AstraZeneca, Regeneron, Sanofi and Amgen; owns stock in AbbVie, Abbott Labs, CVS, General Electric, Johnson & Johnson, Medtronic and JA Willey; and has provided expert legal testimony on exercise-related cardiac events and statin myopathy.

  • Disclaimer The views expressed in this paper by the American College of Cardiology‘s (ACC‘s) Sports and Exercise Cardiology Section Leadership Council do not necessarily reflect the views of the Journal of the American College of Cardiology or the ACC.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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