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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.”

Different Treatment

February 25, 2014

In a perfect world we would treat every transfer student in the exact same way. We would declare every transfer student from anywhere to anywhere eligible immediately. Or we would declare every transfer student from anywhere to anywhere ineligible for a period of time that applied identically to everyone; there would be no exceptions for any student.

But educators who have been conducting interscholastic programs in every state across the country have determined that “one size doesn’t fit all.” One single rule, with no exceptions, doesn’t work. It’s either too lenient in some cases or it’s too limiting in others.

So every state high school association has developed a general policy – that students who are new to a school are not immediately eligible for interscholastic athletics; and every state high school association in the country has made exceptions to that general rule for certain students and modified the period of ineligibility for other students.

Different treatment for different students is inherent in every state association’s transfer rule. Different treatment is not only reasonable; it’s inescapable.

It is not unfair to treat some students differently than others. Very often it’s the only way to promote and protect fairness in school-sponsored sports.