Screening recommendations in the US for college-age young adults —as well as for children and adolescents—include the following: Medical, family, and drug history (including use of performance-enhancing drugs and drugs that predispose to long QT syndrome) Physical examination (including blood pressure and supine and standing cardiac auscultation) Selected testing based on findings on history and physical examination European guidelines differ from American guidelines in that a screening electrocardiogram (ECG) is recommended for all children, adolescents, and college-age athletes.