Jack Cadigan of Medfield, MA is named Sports Illustrated's High School Athlete of the Month 

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Information to help understand Sudden Cardiac Death in youth and ways to prevent it.

Survival trends in the United States following exercise-related sudden cardiac arrest in the youth (pdf)

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Cost-Effectiveness of Preparticipation Screening for Prevention of SCD in Young Athletes (pdf)

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ECG Screening in Young Athletes - American College of Cardiology (pdf)

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Feasibility and Fndings of Large-Scale Electrocardiographic Screening in Young Adults (pdf)

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Mandatory ECG Screening for Young Athletes (pdf)

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Sudden Cardiac Death in Young Athletes: What is the Role of Screening (pdf)

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Clinical References

For Medfield player, a miraculous sequence of events

 The serendipitous sequence of “ifs” defies all likelihood. If Jack Cadigan hadn’t been a cardiologist. If he hadn’t turned up at the wrong gym for his son Jack’s basketball game. If he hadn’t run into an old friend there sitting with a Haitian doctor. If Cadigan hadn’t accepted his friend’s casual invitation to visit a medical center in Haiti. And, most important, if Cadigan hadn’t decided to check out the center’s idle EKG machine by testing it on his son. 

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Electrocardiogram Screening in Athletes: A Good Return on Investment?

 In Austin, Texas during May 2015, the Texas Senate considered House Bill 767, a bipartisan bill that would mandate electrocardiogram screening for high-school athletes, with an opt-out for any reason. It had been passed by the House 6 weeks earlier. In fact, for the first time, the American Heart Association took a neutral stance on this issue. While it failed to pass the Senate with one vote shy, other states are now considering such legislation. The authors of this paper (JPH & JBC) testified at both the House and Senate Committee hearings on this bill. 

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Ground-breaking research sheds light on routine cardiac screening in athletes

 A ground-breaking paper published simultaneously in two leading international heart journals [20 February 2017] casts fresh light on the current debate relating to the accuracy and cost-efficiency of the ECG as a screening tool to identify athletes with potential life threatening heart conditions – also showing promise for the future of a screening programme for all young people across the UK. 

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$20 and an Algorithm Could Save Your Teen From a Heart Attack

Early testing can avert disaster, but false positives are stressful and costly.   Now there's a solution.


 By Andy Kessler  March 3, 2017 7:01 p.m  Wall Street Journal


Two years ago, around 9 at night, my 18-year-old son came home after studying for a test. Luckily I was there to greet him. We talked briefly about the full moon, and then he gasped and collapsed. His heart had stopped. Another son heard my screaming and got my wife to call 911. Another started CPR. Then early responders, ambulance, intensive-care unit, induced coma, feeding tube, batteries of tests, neurologists, physical therapists, a defibrillator installed. Twenty days later he walked out of the hospital. The total bill was over $1 million, nearly all paid by insurance.

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