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From guidelines to the sidelines: implementation of cardiovascular preparticipation evaluation in sports clubs is lagging
  1. Kristofer Hedman1,
  2. Sofia Sunnerud2,
  3. Anna Carlén1,
  4. Magnus Janzon2,
  5. Eva Nylander1
  1. 1 Department of Clinical Physiology and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
  2. 2 Department of Cardiology and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
  1. Correspondence to Dr Kristofer Hedman, Department of Clinical Physiology, Linköping University Hospital, Linköping 581 85, Sweden; kristofer.hedman{at}

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In the last years, European and American organisations have presented rigorous position statements for guidance of physicians engaged in the cardiovascular screening of athletes as part of a preparticipation evaluation (PPE).1 2 In addition, continuous improvements of criteria for ECG interpretation in athletes over the last decade have yielded comprehensive updated international guidelines.3 Thus, the stage should be set for an evidence-based, best-practice cardiovascular PPE for the benefit of all competitive athletes included under each country’s or sports governing body’s regulations and recommendations. However, as pointed out in last year’s position statement from the American Medical Society for Sports Medicine,2 the long-standing debate regarding the inclusion or not of ECG in cardiovascular screening may have halted or clouded other important discussions and progress in the field. We believe one issue that has received far too little attention is the question of actual implementation of the cardiovascular PPE in sports clubs.

Notably, several reports from the USA have found …

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  • Contributors All authors contributed in drafting and revising the manuscript for intellectual content. The work was organised and led by the first author, KH.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

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