The preparticipation examination represents the foundation of an athlete's medical clearance for activity. While each year thousands of these examinations are performed in the United States, this undertaking has been frequently called into question, as the yield is considerably low. In addition, Maron et al along with others have noted a lack of a national standard and identified key components at the examination that fulfill the cardiovascular screen (1). This case of a 50-yr-old former runner highlights the potential importance of a well-done preparticipation examination with attention to detail during the physical examination.
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