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.”

Taking Back Their Game

December 15, 2017

Editor's Note: This blog originally was posted August 30, 2011, and the message still rings true today.


Grayling High School’s Rich Moffitt is one of our many fine high school basketball coaches, and a good portion of the heart and soul behind the MHSAA/BCAM “Reaching Higher” experience for our state’s students aspiring to play college basketball. Rich shared with us a recent article in Basketball Times written by Billy Reed, a long-time basketball writer for the Louisville Courier-JournalLexington Herald-Leader and Sports Illustrated. In this piece Reed urges high school basketball coaches to take back their game from the corrupting influences of street agents and summer coaches. He writes:

“I’d like to see the high school coaches publicly challenge university presidents to stop sacrificing academic integrity on the altar of the almighty sports dollar. I’d like to see them petition the NCAA to do everything possible to rid college football and basketball of the slimy street agents, summer coaches, pimps, hustlers and con artists who undermine the authority of their high school coaches and teachers.

“I’d like them to urge the NCAA to start running its own summer games instead of leaving it to the shoe companies and NBA stars, and I’d like to see them work with their state high school athletic associations to adopt rules stipulating that only certified high school coaches can coach summer teams.

“I’d also like to see the high school coaches rededicate themselves to teaching humility, civility and respect for the opposition, the public and the media instead of letting young superstars grow into rude, selfish, egotistical adults who think the same rules that apply to the rest of society don’t apply to them.”