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.”
A Temporary Fix
December 8, 2017
After six months of effort, there is only a 12-month solution for issues affecting the girls and boys basketball seasons and Michigan High School Athletic Association basketball tournaments.
On Dec. 1, the MHSAA Representative Council approved switching the girls and boys basketball calendars for 2018-19 only. Boys basketball adopts the regular season and tournament schedules that have previously been in effect for girls, and girls basketball adopts the regular season and tournament schedules that have been in place for boys. The Semifinal and Final venues will continue to be Van Noord Arena at Calvin College for girls and MSU’s Breslin Student Events Center for boys.
Decisions regarding schedules and sites for the 2019-20 season and beyond will be determined by the Council at a later meeting.
The MHSAA’s hand has been forced by NCAA Division I women’s basketball tournament conflicts with the traditional dates for MHSAA basketball tournaments. That changing NCAA schedule and other factors have combined to limit venue options for MHSAA tournaments. Just one facility large enough to host the MHSAA boys Semifinals and Finals is available in 2019 and 2020. That’s MSU’s Breslin Center.
Many other basketball scheduling options have been studied during the past six months, including moving both tournaments a week earlier or later, separating the girls and boys tournaments by an additional week, or conducting both tournaments over the same three weeks with only the four championship games for each gender at MSU.
However, because 2019 is not a typical year for how the NCAA and MHSAA calendars relate to one another, (2018, 2020, 2021 and 2022 are typical), more innovative changes in formats and schedules made for 2019 would have needed adjustment again for 2020.
The decision to switch seasons and tournaments for one year only allows a test of the opinion that the transition from fall to winter sports might be better if boys basketball started before girls.
The decision also provides Calvin College the opportunity to host the girls Semifinals and Finals at least twice at Van Noord Arena, which has twice hosted NCAA Division III championships in both women’s basketball and women’s volleyball. Two years is our usual minimum; and tournaments almost always run more smoothly in the second year than in the first year at a venue. Van Noord is the largest NCAA Division III arena in the country.
In any event, more time is needed to further study and explain more innovative scheduling and tournament formats, and possibly gain better understanding and greater support for grander plans.