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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.”

Remarkable Student-Athletes

May 8, 2015

Every spring I have the privilege and pleasure of participating in several league or local school events that acknowledge and reward the careers of student-athletes who distinguished themselves as multiple-sport participants with very high academic grade point averages. One of those events this year was the 2015 Senior Athlete Recognition Ceremony of the Capital Area Activities Conference. It was remarkable in several ways.
It was my fourth time in attendance at the event, which started when the league was smaller and simply called the Capital Area Conference. I was the speaker at one of its first recognition ceremonies. In later years I attended as our first son, and then our second, were among the evening’s honorees. But I found the 2015 CAAC event remarkable in two other and more important ways.
First, as the Master of Ceremonies Tim Staudt read off the intended college majors of the 200 honorees (10 per school), I noticed that not one of the students had declared the intention of being an English major, which was my college major and to which I credit much of the pleasure I’ve enjoyed as a human being and the success I’ve experienced as an administrator of school sports. I’m hoping some of these 200 of the CAAC’s best and brightest – a truly impressive group – will decide or even just stumble into an English major – a place to learn how to think and to communicate.
The second remarkable feature of this remarkable group of 200 was that the number of boys almost equaled the number of girls. This almost never happens, and that has always concerned me – that boys settle for athletic achievement alone while girls strive to achieve in athletics, academics, activities and much more of what a comprehensive education has to offer.
It is extremely important to the future of our society that we demand much more of boys than we are getting. If we expect them to be productive in life and to be good citizens, husbands and fathers, boys need to learn in high school that “settling” is not sufficient and that a life which revolves around sports alone is a life that will be disappointing.