Hedman K, et al. - Researchers conducted this retrospective study of athletes (aged 13–35 years) who had their blood pressure (BP) assessed as part of a preparticipation evaluation (PPE) via the Stanford Sports Cardiology program in the context of recently updated US and European hypertension guidelines. In addition, they investigated how BP is related to left ventricular (LV) remodeling (LV mass, mass/volume ratio, sphericity index) and LV function in a separate cohort of athletes undergoing routine PPE echocardiography. BP levels above the current US guidelines’ thresholds for hypertension were evident in one-third of this large contemporary cohort of athletes. This emphasizes careful consideration is needed before lowering the BP thresholds at PPE and supports standardizing measurements. Findings suggested higher systolic BP correlated with male sex, body mass index and height as well as LV remodeling and diastolic function, indicating the clinical relevance of elevated BP in athletes during PPE.