Sudden cardiac death (SCD) is the leading cause of death in competitive athletes during sports and exercise. The goal of cardiovascular screening is to identify underlying cardiac disorders predisposing a patient to SCD to allow risk reduction through individualized and disease-specific medical management. Electrocardiogram (ECG) screening increases the detection of cardiac disorders at risk for SCD, but requires a physician infrastructure trained in athlete-specific ECG interpretation standards, as well as skilled cardiology resources to conduct proper secondary testing of ECG abnormalities. This conference features world experts in sports cardiology to review physiologic versus pathologic ECG findings in athletes, the evaluation of ECG abnormalities, and diseasespecific management in athletes diagnosed with a pathologic cardiac disorder. Conference workshops will examine and apply consensus recommendations from the 2017 International Criteria for ECG Interpretation in Athletes. This conference addresses critical knowledge gaps to improve the cardiovascular care provided to competitive athletes.