“…Many such groups have demonstrated a high level of proficiency in structuring these programs. Although cardiovascular screening has been adopted as public policy and met with widespread acceptance in some countries, 49,88,129 practical concerns have limited enthusiasm for mandated screening in the US and elsewhere. 130 Chief among these are 1) the impact of false-positive findings, which include unnecessary work-up, proscription from sport or other desired, healthful or necessary activity, and possible creation of psychological harms, 115,116 2) the effect of inaccuracy in diagnosis to discount the potential value of cardiovascular screening in actual use [131][132][133] , and 3) the willingness of patients with positive screening tests to pursue further diagnosis and management.…”