Echo/Doppler screening should be looked upon as a strategy used in a select population of healthy, asymptomatic individuals to identify pre-emergent disease. Using focused echo/Doppler screening the incidence of a cardiovascular finding in athletes has been reported to be roughly one case in every 170 athletes screened with a "false positive" finding in only 8 of 508 athletes [2, 10, [13] [14] [15] . We describe how to provide a highest quality, exceptionally low cost pathophysiologic athletic

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... creening test, which is validated to differentiate the status of a normal state from an abnormal life-threatening pathophysiologic state. Matching pre-emergent disease (without phenotypic expression) "associated" with sudden death through diastolic parameters is the key to differentiating normal from abnormal pathophysiology [5, 9, [16] [17] [18] [19] [20] [21] [22] [23] [24] . These data are focused on two principal objectives: detect an imminent life-threatening state at a time when the opportunity for prevention is optimal [25, 26] , and define the magnitude of imminent risk that enlightens physician decision making and management [23, [26] [27] [28] .