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January 9, 2026Quality in SportOpen Access

Periodic cardiovascular screening was associated with a reduction in sudden cardiac death incidence among young athletes.

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Key result

Periodic cardiovascular screening was associated with a reduction in sudden cardiac death incidence among young athletes.

Authors

AGAdrian GólczMSMikołaj SzaryńskiASAdam Sikorski

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Overview

This review evaluates cardiovascular screening's impact on preventing sudden cardiac death in young athletes, suggesting adaptation to local systems.

Key Points

  • The aim is to assess the effectiveness of periodic cardiovascular screening in preventing sudden cardiac death among young athletes.
  • Review current evidence on pre-participation screening protocols
  • Analyze incidence rates of sudden cardiac death among athletes under 35
  • Examine the effectiveness of ECG-based screening in identifying cardiac disorders
  • Discuss the cost-effectiveness and logistical challenges of screening programs
  • Evaluate the role of emerging technologies in future screening strategies.
  • Current incidence of sudden cardiac death is estimated at 1–3 cases per 100,000 athletes
  • Periodic screenings may reduce SCD incidence by identifying life-threatening conditions
  • High false-positive rates and economic costs pose challenges to widespread implementation
  • The effectiveness of screening varies depending on local healthcare capabilities and disease prevalence
  • Emerging technologies may enhance the precision of SCD prevention efforts.

PICO

P
Population
Sudden Cardiac Death in Young Athletes (n=22,324)
I
Intervention / Comparator
Periodic Cardiovascular Screening (Pre-participation screening, PPS) vs Control group (no screening)
O
Primary Outcome
Incidence of sudden cardiac death (SCD) — null (null), p=null

Main Result

Effect estimate: null (95% CI null)

Absolute Event Rate: 0.4% vs 3.6%

p-value: p=null

Limitations

  • Insufficient randomized controlled evidence confirming that PPS significantly reduces SCD mortality.
  • High false-positive rates leading to unnecessary interventions.

Cite This Study

Gólcz et al. (2025) studied Sudden Cardiac Death in Young Athletes (n=22,324). Periodic Cardiovascular Screening (Pre-participation screening, PPS) vs. Control group (no screening) was evaluated on Incidence of sudden cardiac death (SCD) (null, 95% CI null, p=null). Periodic cardiovascular screening was associated with a reduction in sudden cardiac death incidence among young athletes.

synapsesocial.com/papers/696128f244c2cd6c68456c7ahttps://doi.org/10.12775/qs.2025.48.67154
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