International Experience and Inspiration of Preparticipation Cardiovascular Screening

This study reviewed and summarized the international experiences and local research in the field of preparticipation cardiovascular screening(PPCS), which can provide references for designing the PPCS program and preventing exercise-induced sudden cardiac death(SCD) in China. It was found that the family history, personal history, physical examination and resting ECG were usually used in PPCS to assess the risk of sudden cardiac death, and thus to screen high-risk individuals and take corresponding measures to reduce the risk. The consensus statement of international criteria for electrocardiographic interpretation in athletes was released in 2017, which greatly improved the sensitivity and specificity of ECG, although some details of the screening program were still controversial. The screening program in this statement is gradually accepted by many countries and major international sports organizations. In conclusion, it is suggested to formulating a registration system for exercise-induced SCD, establishing a systematic PPCS program and strengthen research on novel PPCS methods and technologies, so as to further improve the PPCS program in China.