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Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”
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The Definition
July 25, 2017
This question was posed to me by a colleague last fall: “How does your state association define education-based athletics and activities?”
My response was as follows:
“Defining and defending educational athletics is one of the MHSAA’s four focus topics of 2016-17. We are striving to encourage and equip our core constituency to ‘blow their own horns’ about the values of school sports, the benefits of multi-sport participation and the meaning of success in educational athletics.
“To us, educational athletics is school-sponsored and student-centered, where the concern is for the whole child. It is local and inexpensive for both participants and spectators. It is amateur. It is inclusive, with as much potential to provide physical, mental and emotional lessons at the junior high/middle school level as the high school level, and in subvarsity programs as varsity programs, and in low profile sports as high profile sports.
“The programs are extracurricular: after the school day is when they should usually occur, and they are after academics in importance. They support the academic mission of schools.
“Educational athletics is not a right but a privilege available to students who meet the standards of eligibility and conduct established by the sponsoring school.”
I hope you agree.