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In Reply To clarify the first point raised by Drs Harmon and Drezner, cardiovascular sudden deaths in high school– and college-aged competitive athletes have proved to be uncommon based on a reported incidence of 1:80 000 to 1:200 000 in most published population studies and summarized in the recent American Heart Association/American College of Cardiology Scientific Statement.1 Certainly, each of these events in young people is tragic, but to somehow characterize these deaths as common and representative of a major public health problem lacks proportionality and is potentially misleading.
Maron BJ, Winkel BG, Tfelt-Hansen J. Cardiovascular Screening for Young Athletes—Reply. JAMA. 2015;313(16):1674. doi:10.1001/jama.2015.3237