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.”
News Unfiltered
July 12, 2017
During the first summer after my college graduation, I was the campaign advance man outside of the Milwaukee and Madison areas for a candidate for the U.S. Senate from Wisconsin. A great job.
Sometime during that summer, I met the head of the campaign in a café. He was reading a newspaper as I arrived; and as I sat down at the table, I asked him what he was reading. I’ll always remember his response. He said, “I’m looking for what could go wrong today?”
It was the campaign manager’s job to think about worst-case scenarios and consider how the campaign might get taken off message by the news of the day.
I was young and impressionable, and I soon began to consume the daily news through the same filter.
It was not difficult to do so in the 1970s. The daily newspaper was printed and delivered to my door every day. Television had just three networks, and each provided brief news reports two or three times a day.
Today, what passes as news comes from hundreds or thousands or millions of sources and it is changing constantly, 24/7/365. Only a small portion of those sources is professionally operated with accountability for the substance and/or style of the so-called reporting.
Today it drives me nuts to consume news – that is, to really think about what I’m reading or hearing the way I did in the 1970s. Today, meaningful matters often get buried in trivia while the most inane and inaccurate stories and comments can go viral overnight.
I’ve always said you can get too much of a good thing – too much food; too much free time; and certainly, too much sports. And clearly, we have too much “news” about sports.