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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.”

Classes or Divisions

April 4, 2014

Never is the continuous cycle of school sports more obvious to me than at this time of year. Just as winter tournaments conclude for 2013-14, we post the classifications and divisions for MHSAA tournaments in 2014-15.

Unlike many states which reclassify every two, three or four years, we collect enrollment figures each year and redraw the lines between Classes A, B, C and D each year in late March. And for all sports except basketball and volleyball, we place an almost equal number of schools that actually sponsor the sport into equal divisions – usually four divisions, but fewer for sports that are sponsored by a relatively small number of schools.

This traditional treatment of boys and girls basketball and girls volleyball – continuing with four classes rather than four divisions with an equal number of schools that actually sponsor the sport in each division – reflects that when last considered for change 17 years ago, there wasn’t much difference in the number of schools in the four classes vs. the four equal divisions in these three tournaments.

For 2014-15, of the 749 MHSAA member schools, 724 indicate they sponsor boys basketball, 716 sponsor girls basketball and 704 sponsor girls volleyball. (Among the sports in equal divisions, the most populous is baseball with 630 sponsoring schools.)

Last January, the MHSAA Classification Committee requested that staff provide the Representative Council what the numbers would look like for 2014-15 if these three sports were in “equal divisions” like other sports. The Classification Committee wasn’t recommending any change – just asking that the Representative Council see the numbers again.

  • In boys basketball, the number of schools in Divisions 1, 2, 3 and 4 would be 181, compared to 188, 182, 182 and 172 in Classes A, B, C and D, respectively.
  • In girls basketball, the number of schools in Divisions 1, 2, 3 and 4 would be approximately 179, compared to 186, 181, 182 and 167 in Classes A, B, C and D, respectively.
  • In girls volleyball, the number of schools in Divisions 1, 2, 3 and 4 would be approximately 176, compared to 186, 178, 180 and 160 in Classes A, B, C and D.

Obviously, every time more schools are placed in a division, the enrollment range between the largest and smallest school of that division expands. Therefore, a change to equal divisions places more schools and expands the enrollment range in the division of schools where enrollment spreads have the greatest impact - Division 4. It was our smallest schools that least liked the change to equal divisions in other sports 17 years ago. They would be the dissenters to this change for basketball and volleyball today.