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.”

One Thing

March 11, 2016

One of Michigan’s finest athletic directors is Plainwell’s Dave Price, who recently encouraged me with a school newspaper article about a student who epitomizes school sports, Plainwell High School senior Jessica Nyberg. She participates for the Trojans in swimming & diving, basketball and soccer.

Trojan Torch staff writer Jordan Raglon featured Jessica in an article on Feb. 17, citing how much teammates and coaches value her companionship and leadership. The author cited her accomplishments in all three sports, but what caught my attention was this statement by Jessica: “If there was one thing sports has taught me, it’s that everyone matters.”

I can’t think of a better theme for school sports, or a better mission for educational athletics.

At its best, school sports teaches that teamwork works. That substitutes who practice with peak performance push the starters to even higher levels of performance, and turn some starters into stars.

At its best, school sports finds room for every student, regardless of ability or disability, to be a part of the team so long as the student meets the standards of eligibility, decorum, discipline and dedication the school and team demand.

At its best, school sports understands that “everyone matters” means that no student is above the rules, and that failure to apply rules to one student devalues other students who have complied with the rules.

With the attitude that “everyone matters,” teams tend to come together, discrimination tends to end, and fair play advances.