Death of an athlete during sports is tragic, and sudden cardiac death (SCD) is the most common cause. It is estimated, that the incidence of a SCD in athletes varies between 1:917 000 and 1:3000, whereas studies with higher methodological quality consistently report ranges between 1:40 000 to 1:80 000. In addition, it has been stated that subgroups and sport disciplines may be at a higher risk for SCD, such as males, African-Americans, Africans/Americans, basketball, football and tennis. As football is the most popular sport in the world, with more than about 250 million active players registered, a relevant number of professional and recreational football players may have unknown cardiovascular diseases and therefore, be at risk for SCD. In an own nationwide registry on SCD in sports (Sudden Cardiac Death Germany; http://www.scd-deutschland.de), due to the high popularity of football and therefore, the high number of active and recreational football players in Germany, football was the most commonly affected sport discipline with 20 of the 73 cases (27%) registered as SCD
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