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.”
It’s About the Base
May 8, 2018
Former Southeast Conference Commissioner Roy Kramer, whom Michiganders like to claim as our own for his East Lansing High School and Central Michigan University coaching roots, seized the opportunity of an acceptance speech for an award he received recently from the Tennessee Chapter of the National Football Foundation, College Football Hall of Fame and Knoxville Quarterback Club to deliver a sobering message regarding the game he loves so much – football.
His concerns were for the survival of football on college campuses “where their games will never be on television and will be played in front of less than 10,000 fans.” Which is the situation for 90 percent of the nation’s college football programs.
He also said, “I’m even more concerned about games on Friday night.” Mr. Kramer has been a long-time opponent of Friday night telecasts of college football games because they do poorly both at the gate and in television ratings, and they conflict with the tradition of approximately 6,000 high school football games played locally on Friday nights.
We Michiganders are sometimes criticized for our “conservative” views about the boundaries of a sensible scope for educational athletics. We come by this naturally, on the shoulders of people like Roy Kramer who, even after years in the glitz and glamour of elite college football, maintains his concern for more modest college programs as well as high school football.
It is this base of the game, not the few at the pinnacle, that is the future of a game under siege in dozens of courthouses and state houses across the U.S. – and worse, a game being questioned in many thousands of homes where football was once the game of choice.