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.”

Pay to Play

July 28, 2015

Our local newspaper recently reported that a group of 8-year-olds had qualified for a national 3-on-3 soccer tournament July 31 to Aug. 2 at a theme park resort in Florida; but the report said the team had to raise $5,000 for the privilege.
Without knowing it at the time, the players and coaches qualified on the basis of a second-place finish at a tournament last August in Hastings, Michigan. Really? Second place? Last year?
Let’s be frank. The basis for qualifying for this national event in Florida was not a runner-up finish in a tournament for 7-year-olds the previous summer in a small town in Michigan. The basis for qualifying was the ability to raise $5,000 so the resort could fill its hotel rooms and sell tickets to its theme parks.
National tournament? Baloney. If you can pay, then you can play. Sell this as an expensive family trip, perhaps; but as a national tournament, it has zero integrity.
This kind of hype and hypocrisy adds to the challenges of administering sane and sensible school sports. Neither 8- nor 18-year-olds need national tournaments. There’s a lot more bang for the buck in our own backyards.