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Cardiac Screening

October 31, 2014

The American Heart Association has once again concluded that sophisticated and expensive heart screening is not practical or appropriate as a precondition for youth and young adults to participate in competitive organized sports.
On Sept. 14, 2014, the AHA online publication Circulation stated:

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.”

Starting Five

December 6, 2016

The Task Force on Multi-Sport Participation which the Michigan High School Athletic Association appointed early in 2016 has identified its top five projects. They all encourage the MHSAA and its member schools to get in the game earlier.

The Task Force wants the MHSAA to:

  1. Partner with groups which are promoting diverse physical activity for youth, like the NFL’s “Play 60” and the United Dairy Industry of Michigan’s “Fuel Up” programs.

  2. Meet with groups which could influence more and better physical education in schools that would encourage more sport sampling by youth and increased literacy in basic athletic skills and movements.

  3. Prepare tools for administrators to use when interviewing coaches, conducting preseason meetings for coaches and encouraging coaches to “walk the talk” of promoting balanced, multi-sport participation by members of their school teams.

  4. Prepare for junior high/middle school and elementary school parents a “What Parents Should Know” guidebook with units created by medical personnel, high school and college athletes and coaches, educators and sports scientists.

  5. Prepare for junior high/middle school and elementary school parents a “Reality Check” video describing the costs of sports specialization and the facts about sports as a path to college tuition assistance.

Those who love and lead school sports cannot wait until kids (and their parents) reach high school before we start talking with them regarding the values of school-sponsored sports, the benefits of multi-sport participation, and the meaning of success in educational athletics.