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.”
UP Power
November 29, 2016
About five hours after leaving the Michigan High School Athletic Association office building late in October, I pulled into the parking lot of Munising High School on the edge of Lake Superior. It was just after 7 p.m. on this Thursday evening, I saw that there were many cars in the parking lot, and I guessed that there was a high school volleyball game about to be played.
Indeed. It was the last regular season match of the season, and senior night. I was greeted warmly by the match referee and the school's two veteran administrators. And one of Munising's senior players, a member of the MHSAA Student Advisory Council, interrupted her warmups to jog over to welcome me. After the match, we hugged and posed for pictures together. Between the greeting and the posing, I enjoyed a marvelous evening of educational athletics.
There was plenty of cheering, and never a "boo." Not once did I hear a complaint about officiating. In fact, on two occasions the Munising coach corrected officials' calls that resulted in a point being awarded to his opponent.
For a time, every player on the floor for Munising had played more than one sport that season. Every one of the six played tennis as well as volleyball, and one of them also ran cross country this season. At the same time, the other team's participants included two girls who were also playing on their school's 8-player football team this past season.
Here the multi-sport student-athlete is not an endangered species; it's an essential fact of life. Here a school sports event draws the community together in good spirit and sportsmanship. Here is the power of school sports.