Cardiovascular screening Screening for all children and adults should include a thorough cardiovascular history, with questions about Known hypertension or heart murmur Chest pain Exercise-induced or unexplained syncope (including convulsive syncope), near-syncope, chest pain, dyspnea, or palpitations Family history of sudden cardiac death at age < 50 years, arrhythmias, dilated or hypertrophic cardiomyopathy, long QT syndrome, or Marfan syndrome Risk factors for coronary artery disease in adults Physical examination should routinely include blood pressure in both arms, supine and standing cardiac auscultation, and inspection for features of Marfan syndrome.