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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.”
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Don’t Mention It
October 27, 2017
It has taken every ounce of personal and professional discipline during the past month to keep me from writing what I’ve been thinking since the world became aware of arrests and suspensions in and around major college athletic programs.
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I won’t repeat that we have been outspokenly suspicious of the influence of apparel companies on amateur athletics in America.
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I won’t repeat that we have been continuously critical of the travel team environment infecting sports for youth and adolescents.
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I won’t repeat for the umpteenth time that the “arms race” in major college basketball and football is ultimately unsustainable, or at least indefensible under the banner of higher education.
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I won’t repeat that, in an era of ubiquitous high-definition video, it is ridiculous to think college coaches must be onsite for the cesspool of spring and summer tournaments funded by apparel companies, and that it would save colleges huge sums of money if NCAA rules did not permit onsite evaluations at such times and places.
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I won’t repeat that nationwide travel and national tournaments are bad for student-centered, school-sponsored sports.
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I won’t repeat that the Michigan High School Athletic Association limitation on travel and prohibition of payments to high school coaches from any source but the school are good for school sports.
I won’t mention any of this.