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.”
Failing Boys
July 9, 2012
In the autumn of 2002, I included the following statement in a longer editorial in the MHSAA Bulletin:
“Year after year I go to league and conference scholar-athlete awards banquets and see girls outnumber boys by wide margins: 54 girls to 33 boys honored at a March event in mid-Michigan is typical of what has occurred many places over many years.
“Year after year, I attend senior honors programs and see girls outnumber boys: 147 awards to girls versus 70 awards to boys honored at a May event in mid-Michigan is typical.
“Look at these figures from the National Federation of State High School Associations:
• “68.3% of vocal music participants are girls.
• 66.4% of participants in group interpretation speech activities are girls.
• 63.3% of participants in individual speech events are girls.
• 62.7% of orchestra members are girls.
• 61% of dramatics participants are girls.”
Nothing since that time has changed my opinion that schools and society at large are expecting far too little of boys. It’s as if boys get a free pass from high expectations if they do sports and don’t do drugs. Far too little is asked of far too many of our male students.
Now add this to the story: There is a growing body of research that supports the premise that while high school sports participation is great for girls, it’s actually bad for high school boys. Bad because it leads to lower participation in non-athletic activities, lower achievement in the classroom, and lower scores on measures of personal conduct and character than their female counterparts.
Males are dropping out of high schools at higher rates and enrolling in colleges at lower rates than females. They’re abusing drugs at higher rates than females, and males are committing both violent and petty crimes at much higher rates than females. Could much of this be linked to the low expectations we have for high school students? Isn’t it time for organized advocacy on behalf of boys?