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.”
Inside Information
September 25, 2015
The source you choose selects your news.
If your source is Fox News, you will get different stories than from ABC, CBS and NBC, and different slants on the same stories.
If your source is publicly supported radio, the news stories will be different than on commercial radio stations; and if you choose Public Radio International, you will hear some topics that are much more frequently and deeply covered than by National Public Radio.
PRI is, for example, where I was following the crisis of refugees fleeing from Northern Africa to Europe long before that story became headlines for other news sources. Did you know, for example, that there are more displaced people in the world today than at any time except World War II?
Similarly, if I were to listen only to coaches of one sport or another, I’m likely to learn about issues that affect that sport, but not much about issues that affect other sports, or affect schools as a whole. Our sources must include input from all sports.
Our sources must also include the perspective of principals who deal with academics more than athletics and who are as attentive to the essential needs of harassed, homeless, displaced and disabled students as they are to the athletic desires of gifted and talented students.
And our sources must include the even broader perspective of superintendents who are fighting for the financial life of their districts. Sometimes that means they are throwing open the doors of their schools and recruiting students from far and wide to replace the dwindling school age children of their local population.
Ours is an association of schools. Not an association of football coaches, or of all coaches. Ours is an association of schools whose directions are determined by blending top-down with in-the-trenches views.
From our vantage point at the Michigan High School Athletic Association we do not learn about everything happening in our state’s secondary schools. But from the myriad calls, emails and letters we receive and the many meetings we have with administrators, coaches, officials and students, we know much more than those who are on the outside looking in.