Cardiac Screening

October 31, 2014

The American Heart Association has once again concluded that sophisticated and expensive heart screening is not practical or appropriate as a precondition for youth and young adults to participate in competitive organized sports.
On Sept. 14, 2014, the AHA online publication Circulation stated:

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.”

An Easy Call

April 6, 2016

A few people of limited perspective blame the MHSAA for the loss by MSU’s women’s basketball team in the NCAA tournament last month on our refusing to shuffle off the Michigan Girls High School Basketball Semifinals and Finals to some other time or place.

It wasn’t a bad call in Michigan that caused MSU’s loss in Mississippi. It wasn’t even a tough call for us; it was the only call.

No way would we dash the dreams of 16 teams or even diminish the experience of coaches, players, parents and spectators surrounding those 16 deserving girls high school basketball programs.

No way would we damage relationships with vendors, broadcasters and sponsors who have expectations of, or even legally binding agreements for, a certain event, on certain dates, at a certain site.

The NCAA has changed the format of its women’s tournament frequently, and it may change its policies and procedures again before next March, or before the contract expires for the MHSAA’s Girls and Boys Basketball Semifinals and Finals at MSU following the 2017 tournaments. So we are not in a panic about future tournaments.

We hope to keep the MHSAA girls and boys tournaments together; and we are confident both MSU and the greater Lansing community see the significant benefits of hosting these events.