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Fit and Healthy: Should You Consider Cardiac Screening?

sports cardiac screening with ecg
NEWS · 3 minute read
Rahul Puri
Written by Rahul PuriPharmacist, MPharm
Medically reviewed 7 October 2026
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You train regularly, keep up with your teammates and feel well. Does that mean you don’t need to consider cardiac screening?

Fitness and a cardiac assessment answer different questions. Your ability to exercise is useful information, but it does not exclude every underlying heart condition.

Deciding whether to have screening should include understanding both its potential value and its limitations.

What can an ECG tell you?

An ECG records your heart’s electrical activity. It can help identify certain rhythm problems and other findings that warrant further assessment.

The British Heart Foundation explains that ECGs have limitations and that other tests may be needed. An abnormal recording does not always mean there is something wrong with your heart.

That is why clinical interpretation matters: a recording must be considered alongside your history and symptoms.

sports cardiac screening with ecg

Screening when you have no symptoms

Some people enquire because their club is arranging an event. Others want to understand what screening involves before deciding whether to take part.

Feeling well does not establish that screening is unnecessary, but it also does not mean everyone needs the same tests or the same screening schedule. Discuss suitability and repeat assessment individually.

Family history deserves attention

Tell your GP if a relative died suddenly at a young age, particularly where the cause was unexplained or an inherited condition was suspected.

You may need a specialist family assessment rather than a standalone ECG. CRY highlights access to NHS screening for families affected by a young sudden death; your GP can help you explore the appropriate pathway.

Symptoms need assessment, not a waiting list

Chest pain, fainting during exercise, unexplained breathlessness or palpitations should not be dismissed as simply being unfit or training too hard.

Seek medical advice rather than waiting for a club screening day. Symptoms that come and go may require assessment beyond a brief resting recording.

If you suspect a heart attack, or someone collapses and is unresponsive, call 999.

What a normal result does not mean

A normal ECG cannot rule out every heart condition or guarantee that participation in sport is safe. It should not override symptoms, a concerning family history or advice to undergo further assessment.

Screening also does not replace a club’s emergency planning, defibrillator access or cardiac-arrest response training.

Screening with Puri Pharmacy

Puri Pharmacy offers resting 12-lead ECG screening with UK cardiologist reporting through the Cardiologic pathway. Club screening costs £37 + VAT per participant, and we confirm individual suitability and event arrangements before booking.

Rahul Puri, pharmacist

Ask Rahul

Rahul Puri | Pharmacist

Cardiac screening, its limits and informed decisions

Should a fit player treat a normal ECG as an all-clear?

No. The useful question is what the recording means alongside your symptoms and family history, and whether further assessment is needed. Do not use a normal result to dismiss symptoms or to override medical advice. A screening programme also needs clear arrangements for reporting and follow-up.

Arrange your next step

Tell us your preferred location and dates, or your club’s approximate participant numbers. We will confirm suitability, availability, the fee and reporting arrangements before booking. Please do not put medical details in the enquiry form.

Enquire about ECG screening

Related guide: What happens during a 12-lead ECG. Read the full Puri screening service details.

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