14-Element Screening

Medical History
Parental verification recommended for high school and middle school athletes

Personal History
1. Exertional chest pain/discomfort
2. Exertional syncope or near-syncope
3. Excessive exertional and unexplained fatigue/fatigue associated with exercise
4. Prior recognition of a heart murmur
5. Elevated systemic blood pressure
6. Prior restriction from participation in sports
7. Prior testing for the heart ordered by a physician Family history
8. Premature sudden or unexpected death before age 50 years due to heart disease, in one or more relatives
9. Disability from heart disease in a close relative younger than 50 years of age
10. Specific knowledge of certain cardiac conditions in family members: hypertrophic or dilated cardiomyopathy (HCM), long-QT syndrome or other ion channelopathies, Marfan syndrome, or clinically important arrhythmias

Physical Exam
11. Heart Murmur-exam supine and standing or with valsalva, specifically to identify murmurs of dynamic L ventricular outflow tract obstruction
12. Femoral pulses to exclude aortic stenosis
13. Physical stigmata of Marfan syndrome
14. Brachial artery blood pressure (sitting, preferably taken in both arms)

The 14-Element Screening method is recommended by American Heart Organization.


Source: The Pediatric Primary Care Clinic (Gardner-Packard Children's Health Center). http://med.stanford.edu/ppc/files/AHA_14-point.pdf. Published online 2014. Circulation Barry J. Maron, MD. Accessed Accessed January 19, 2016.


The purpose of this 14-Element Screening page is to provide awareness and general information about the topics mentioned herein. The Derrick Faison Foundation is not in the practice of providing medical advice. To get professional medical advice about the topics mentioned herein, contact your medical service provider. If you are having a medical emergency, please call 9-1-1 or the emergency telephone number in your area. List of references and mentions of organizations do not equal endorsements.

Last reviewed January 19, 2016