Sudden cardiac arrest (SCA) in the young is the leading cause of death in the U.S. afflicting over 300,000 individuals each year. SCA is also the leading cause of death in young athletes during sports participation, and typically the result of undiagnosed structural or electrical cardiovascular disease. Sport's physical exams that include cardiac screenings (EKG, cardiac ultrasound if warranted, and review of family heart history) will assist in identifying those young athletes most at risk for a sudden cardiac arrest.