Table 1 Key consideration points regarding sporting discipline and training volume for preparticipation screening

Endurance athletes often present with physiological eccentric hypertrophy of the LV; however as concentric remodelling in any athlete is rare, further investigation is warranted

Endurance athletes typically present normal or decreased systolic function and normal or superior diastolic function compared with the sedentary population, and hence, any deviation from this expected function warrants further clinical investigation

Athletes engaging in endurance disciplines present bi-atrial dilatation and increased atrial volumes which are strongly correlated with exercise capacity

Endurance and RT athletes tend to present larger aortic root size than the non-athletic population. However, these differences in size are not clinically significant and therefore the presence of a dilated aortic root warrants further investigation