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.”

Our Place in the Sun

August 22, 2017

Today’s blog was written by MHSAA Website and Publications Coordinator Rob Kaminski

Millions of people across the country yesterday were mesmerized and fascinated by a once-in-a-lifetime show staged by the solar system: a total solar eclipse, which spanned the contiguous United States from Oregon to South Carolina. 

The “Great American Eclipse” (because everything needs a title these days) was preceded by countless hours of coverage to prep enthusiasts on a variety of topics: the best places in which to view “totality;” the time frame in which the phenomenon would occur; the manner in which to view the orbs without damaging retinas; and, for the more scientifically inclined, detailed explanations as to the cause of the event.

It is somewhat ironic that this temporary traveling blackout began in the Pacific Northwest where people often yearn for even a glimpse of the sun over periods of time, and ended off the coast of South Carolina where residents have endured more than their share of weather disasters and a day of total sun would have been greatly preferred. At widespread locations in between, how many citizens beg for just a little more sunshine each day when the clock runs out on Daylight Saving Time? 

The attraction to Monday’s event, of course, was its rarity. Its peculiarity. Its deviation from the norm. The last time a total solar eclipse could be seen anywhere in the United States was 1979, and the last time it went coast to coast was 99 years ago. That was the hook. It was darkness’s day in the sun.

Another MHSAA football season kicks off around the state Friday just clear from the shadows of Monday’s historic, but fleeting, happening. The school sports spotlight shines brightest on fall Friday nights and has for decades, not only in Michigan, but also from shore to shore across the country. It is pep rallies and parades; pizza parlors and burger joints; neighborhood caravans and tailgates; perhaps even a Friday cross country meet or volleyball match, all leading up to the football game, for many years the only game in town.

Now, as college football continues its attempt to upset the natural balance and create its own eclipse, it is our hope that high school fans from state to state will consider this movement a fleeting attention grab. It is our hope that the people who have fueled our product over the course of time will turn their heads and focus on the brightest Friday night stars in their own back yards.