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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."

Alternatively, one could reach different conclusions: (1) the PPE process is flawed because the current format does not incorporate many of the recommendations presented by the United States Preventive Services Task Force (USPSTF),² and (2) no studies have demonstrated a difference in morbidity or mortality rates resulting from different PPE formats.

The current recommended format incorporates the recommendations of the AHA and a statement by their consensus panel.³ The USPSTF also provides . . . [Full Text of this Article]

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Preparticipation Cardiovascular Screening for US Collegiate Student-Athletes
Glen C. Pfister, James C. Puffer, and Barry J. Maron
JAMA. 2000;283(12):1597-1599.
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