The electrocardiogram (ECG) screening conversation has dominated the preparticipation physical evaluation (PPE) for more than a decade. Like many controversial topics, there are two sides and sometimes little movements. Both arguments are outlined in this issue of Current Sports Medicine Reports (CSMR). The American Heart Association and American College of Cardiology (ACC) have jointly published their recommendations over the past year, the ACC Sports Cardiology Section has weighed in on protecting the heart of the American athlete, and the National Collegiate Athletic Association (NCAA) has developed a recommendation for cardiovascular (CV) care of college athletes specific to that age group that is soon to be released. The American Medical Society for Sports Medicine is currently developing a statement to guide primary care sports medicine physicians through the decision matrix.
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