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.”
Double Win Practice Policies
February 22, 2013
The MHSAA’s third health and safety thrust for the next four years focuses on practice rules, especially early in the fall season.
Here we will be especially interested in finding “double wins,” that is, policies that simultaneously enhance acclimatization and reduce head contact.
In football, for example, this could mean increasing the number of days without protective pads before the first practice in full pads. Michigan requires three days, but there’s a trend toward four or five days in other states.
Football might also limit any day to a single practice in pads, following the lead of colleges and a growing number of state high school associations that are restricting two-a-day practices in pads on the same day or on consecutive days.
Both of these changes could make acclimatization more gradual and healthy, and reduce the occurrences for contact to the head: two priorities as practice policies are reviewed and revised.
The MHSAA’s sport committees, sometimes with their work augmented by that of special task forces, are being charged with these responsibilities.