Evaluating Policy Consistency in Preparticipation Physical Evaluations for High School Athletes

Sudden cardiac death in young athletes is a rare but tragic occurrence impacting families, friends, institutions, and communities. The causes of sudden cardiac death often go undetected because of the vague associated symptoms. High school athletes are required to complete a preparticipation physical examination (PPE). However, screening guidelines at the state level are flexible and can lead to an inconsistent cardiovascular assessment of student-athletes. A review of State High School Association guidelines for all 50 states and the District of Columbia evaluated consistency of current PPE policies and found variation in frequency, forms utilized, and who can complete the physical.