To maximize safe participation in sports, a pre-participation physical evaluation is recommended for all children and adolescents before the season begins. This cardiovascular evaluation should be routinely done at pre-adolescent and adolescent annual well visits, with the goal of identifying medical problems that could have life-threatening complications or require treatment before participation. Maully Shah, MBBS, an attending cardiologist at Children’s Hospital of Philadelphia, discusses what PCPs should know about the cardiovascular sports physical, symptoms and history to look for, and more. Published February 2019. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.