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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.”

Corporate Care

March 10, 2015

One of the MHSAA’s newest corporate sponsors is arguably one of its most important ever because it will assist the MHSAA’s aspirations to go further beyond the ordinary in promoting student-athlete health and safety.
That new sponsor is Sparrow Health System, and you can read about our new relationship by clicking here.
During the many discussions with Sparrow’s leadership leading up to our partnership, we learned of its membership in the prestigious Mayo Clinic Care Network; and during our review of some of Mayo’s work we reviewed an April 2012 Mayo Clinic article about the risks of concussion in high school football.
The article presented the results of a carefully controlled study of individuals who played high school football in Rochester, Minnesota, during the decade 1946 to 1956.
The conclusion was that those participants did not have an increased risk of later developing dementia, Parkinson’s disease or amyotrophic lateral sclerosis (ALS) compared to non-football-playing high school males. The study notes that this was the case even though, compared to today, “there was poorer equipment and less regard for concussions and no rules prohibiting head-first tackling (spearing).”
There is no small supply of data that sheds better light on the head trauma hysteria in sports in general and football in particular. We cite such data as a counter-balance, not as a reason to slow the search for safer ways to conduct school sports. Our new sponsorship is evidence that we are increasing our capacity to do much more.