May 12, 2021

The Preparticipation Physical Examination

American Family Physician

From the Choosing Wisely Campaign, several organizations do not recommend annual ECG or echo to screen asymptomatic low-risk patients.  There is a helpful table summarizing a 14 element American Heart Association set of recommendations that touch upon the importance of checking bp, evaluating the previous syncope, and checking items such as femoral pulses to exclude coarctation of the aorta.  There is also a subsection that describes a syndrome that can occur in female athletes who have long-term manifestations of low energy availability, disordered eating, decrease bone mineral density, and menstrual dysfunction.