The American Heart Association recommends complete physical examinations, including a cardiac auscultation exam and review for any concerning cardiac symptoms and any family history of sudden unexplained death in relatives under age 50. The systematic use of history, physical, and diagnostic tools such as electrocardiogram, 2D echocardiogram, magnetic resonance imaging, and an electrophysiologic study may be necessary to detect a lethal cardiac cause of sudden cardiac death. However, all causes of sudden cardiac death may not be detected with a good preparticipation examination, so a solid emergency action plan and automatic external defibrillator program is important to assist in saving lives of athletes when an incident occurs
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