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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.”
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Brilliant Blend
May 24, 2016
This month’s featured multi-sport student-athlete is well known to the Michigan High School Athletic Association staff, having served for two years on the MHSAA’s Student Advisory Council.
Greta Wilker is concluding her senior year at Belding High School. She’s Valedictorian, and will have earned 16 varsity letters by the time she wears her graduation cap and gown.
Greta is Sports Illustrated’s Athlete-of-the-Month for May, and she is brilliant in SI’s video tribute.
Her softball coach, whom she calls her “second mom,” has helped Greta learn how to move seamlessly from mistakes to successes. An art teacher has taught her that excellence, not perfection, is the healthier life goal.
But from all we have seen and heard, perfection is the word that comes to mind when reviewing the kind of experience school sports has provided Greta. Not every contest was a victory; not every season was a championship. It has been a brilliant blend of successes and failures and wins and losses that work together in school sports to help form healthy, happy adults.