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New research · Cardiology
European heart journal · 1d
GuidelineEuropean heart journal · 2026

Cardiac evaluation of paediatric athletes.

Guido E Pieles, Elena Cavarretta, Jessica J Orchard … Flavio D'Ascenzi
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CardiologyGuideline

Cardiac screening for pediatric athletes should begin by age 12 years.

Cardiac evaluation of paediatric athletes.

Guido E Pieles et al. · European heart journal · 2026
Background

Paediatric athletes are not simply 'mini adults'.

12
Results
years
young athletes should start heart check-ups by this age
More results

Members of the writing group voted anonymously on key advice statements, with ≥80% agreement required for consensus.

Implementing a screening programme requires ensuring the availability of necessary healthcare resources.

More results

One transthoracic echocardiogram may be appropriate to identify high-risk structural cardiac diseases not identifiable on ECG, provided appropriate infrastructure for baseline diagnostic assessments is in place.

“
Conclusion

It is also noted that increased opportunities for paediatric sports cardiology training are required to provide adequate medical care for the paediatric athlete population.

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