March 3, 2026 · British journal of sports medicine · DOI: 10.1136/bjsports-2025-110791

Pre-participation cardiovascular screening among NCAA athletes: a systematic review and meta-analysis of 27 891 athletes

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The authors aimed to evaluate the effectiveness of pre-participation cardiovascular screening among NCAA athletes and assess the additional value of history and physical examination (H&P) when combined with electrocardiogram (ECG) screening. Their systematic review and meta-analysis of 27,891 athletes revealed that ECG screening significantly improved the detection of serious cardiovascular conditions compared to H&P alone, with a notably lower false positive rate. The study concluded that ECG is a valuable tool in pre-participation screening, while H&P offers minimal additional benefit in cases with a normal ECG.

Justin J Conway, Dylan Bennett, Irfan M Asif, Masaru Teramoto, Brett G Toresdahl

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