To the Editor: The study by Dr Pfister and
colleagues1 raises questions about the utility
of the preparticipation physical examination (PPE) for collegiate athletes.
The authors found that many PPEs do not include the 12 American Heart Association
(AHA) 1996 Consensus Panel recommendations for preparticipation cardiovascular
screening of athletes and conclude that the current system may expose athletes
to a "flawed preparticipation cardiovascular screening process that reduces
the reasonable expectation of detecting pertinent cardiovascular abnormalities
in some athletes."
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