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.”
Reality Check
July 29, 2016
In Garrison Keillor’s fictional Lake Wobegon, Minnesota, “all the children are above average.” The greater fiction is that most parents believe their children are way above average, especially when it comes to sports. On that topic most parents are badly in need of a reality check.
A colleague at the MHSAA showed me a letter from the CEO of the Amateur Athletic Union to my colleague’s eight-year-old daughter announcing that she had been selected for a national publication that would identify the brightest future stars of women’s basketball, for a fee of course. A scam certainly; but how many other people might be taken in by this, or contribute to it “just in case” because they wouldn’t want to do anything to discourage their child’s ascension to stardom?
The MHSAA’s Task Force on Multi-Sport Participation has identified delusional parents as one of the greatest contributors to athletic specialization that is too early and intense, forcing some children out of sports too soon and leading them toward a life of inactivity and obesity, while leading the chosen youth toward overuse injuries that can be equally damaging to adult fitness.
This task force is developing strategies to help inform parents of elementary children that their children will almost certainly not participate in either college or professional sports but, with adequate attention to physical fitness, nutrition and sports sampling, most children can be involved in interscholastic athletics and remain active and fit for life after high school.
Among several task force strategies are a “Reality Check” video for parent meetings and printed pieces on “What Parents Should Know” with units by medical personnel, physical educators and coaches.
These efforts won’t change the world. They are, however, a small part of what we can do, have an obligation to do and will do to promote the health and safety of this and the next generation of young people.