ArticleJACC. Case reports2026
Cardiovascular Screening and Clearance Pathways for Recreational Athletes: Beyond the Elite.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Exercise-mediated extracellular vesicle-derived non-coding RNAs and cardiovascular protection: mechanistic insights and bibliometric analysis.Frontiers in physiology · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRegular physical activity confers substantial cardiovascular benefits, yet it may in rare cases precipitate sudden cardiac arrest (SCA) or sudden cardiac death (SCD) in predisposed individuals. Although preventive frameworks have largely targeted competitive athletes, the rapidly expanding population of recreational participants remains insufficiently addressed. CASE SUMMARY: Recreational athletes have a low but significant incidence of SCA/SCD (0.02 to 13 per 100,000 person-years). Coronary artery disease is most common in middle-aged individuals, while inherited cardiomyopathies account for fewer cases. DISCUSSION: Contemporary preparticipation evaluation for recreational athletes has shifted from universal electrocardiogram-based screening to a risk-stratified, individualized approach emphasizing cardiovascular assessment, symptom recognition, and selective testing based on exercise intensity. Digital and wearable technologies are under evaluation to support symptom-triggered assessment and cardiac rhythm documentation; however, their effectiveness for preventing sports-related SCA/SCD and their optimal clinical workflows remain unproven. TAKE-HOME MESSAGE: Risk-based, symptom-driven preparticipation evaluation enhances safety, reduces unnecessary testing, and promotes lifelong participation in recreational sports.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.