To the Editor: In their discussion of preparticipation
cardiovascular screening for detecting potentially lethal cardiovascular diseases
in college-aged athletes, Dr Pfister and colleagues1
made no mention of mitral valve prolapse, which is the most frequent valve
disorder in the United States2 and not an
uncommon cause of sudden cardiac death.3
Mitral valve prolapse is responsible for 2% of cases of sudden cardiac death
in young competitive athletes, the same percentage as coronary artery disease.4 In the report of the 26th Bethesda Conference,5 a special section was devoted to mitral valve prolapse
along with hypertrophic cardiomyopathy and other diseases.6
The recommendations were as follows:
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