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.”
Bottom Lines
May 19, 2017
The cost of everything in everyday life seems to rise every year. Everything, that is, except the bread and butter revenue source of the Michigan High School Athletic Association.
Next school year – 2017-18 – is the 14th straight year that ticket prices for the District level of MHSAA basketball and football tournaments have remained unchanged; and it’s the 15th consecutive year without increase at the Regional level of those tournaments. Five bucks.
Meanwhile, the cost of venues hosting some MHSAA championships is rising rapidly. Even if calendar conflicts were not evicting the MHSAA from Michigan State University’s Breslin Center, steeply increased expenses could have the same effect.
There was a time when universities across the U.S. wanted state high school association tournaments using their on-campus facilities. This was a public service as well as a marketing tool for those institutions.
Today these universities derive much more revenue from higher international student tuition than is paid by the in-state students who first come to the campus to play in or watch state high school championships. Even more important than tuition dollars are research grants, royalties and donations to what is now the big business of higher education.
Where campus athletic facilities are operated outside the athletic department it is even more evident that money trumps the mission of public service, at least as it relates to facility usage and secondary school athletic programs which, to be sure, are less important than the search for world peace and cancer cures by our universities.
People might believe it’s more appropriate for MHSAA events to be on college campuses than in commercial arenas; but frankly, it’s getting hard for us to see a difference. The bottom line drives them both.