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Subclinical heart diseases were found in 290/30109 (0.8%) and were common 35 years (135/1124, 11%), but rare at 19-35 years (91/4442, 2%), very rare 18 years (64/24 543, 0.2%; P 0.01). Seventy-four (0.3%) athletes were disqualified because of the structural alterations identified, 29 (0.1%) with cardiac structural diseases at risk for sudden death. Italian community-based pre-participation screening showed an age-dependent yield, with a three-fold increase in referral in athletes 35 years. Subclinical structural abnormal
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