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.”
Neighborhood Pressure
June 7, 2016
Of all the forces working to cause adolescent youth to focus on a single sport to the exclusion of others, one of the most insidious and impactful is “neighborhood pressure.” It’s “keeping up with the Joneses” applied to youth sports instead of house, car and boat.
Some parents feel like bad people if they do not only facilitate but also force their child to keep climbing the sports ladder, moving from neighborhood team to select team to elite team, and from a season experience to a year-round commitment, and from local participation to a schedule that requires out-of-town travel for both games and practices.
“If the neighbors do this for their son or daughter, what kind of parent am I if I don’t do this for my child?”
Actually, the answer is that you are the smart parent – one who has read the literature and has learned that early and intense sport specialization is not best for your child’s future in sports or in life. Sport specialization is a less healthy experience – physically, emotionally and socially – for children ages 6 to 12; and it is no more likely to result in success in high school sports or a college athletic scholarship than a balanced youth sports experience.
All the intense specialization is certain to do is cost much more money than a college scholarship is worth, assuage parents’ consciences and give them topics to talk about at neighborhood gatherings.