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.”
The Importance of Play
September 9, 2016
In the usual post-Olympic sports news coverage there was the predictable commentary about over-commercialization of the Olympic movement and corruption of the Olympic ideal. Is this really what the Greeks intended?
Of course not.
But really, what do we do today that has any resemblance to what we intended a century ago when the “modern” Olympic movement was resurrected, much less to what was intended 27 centuries earlier when the ancient Olympics began?
But at least one thing with ancient Greek roots remains unchanged. It is this.
Plato, student of Socrates, mentor of Aristotle and founder of the “academy” in Athens during the heyday of the ancient OIympics, wrote that more can be learned about a person in an hour of play than a year of conversation.
That has not changed.
And that is one very important of very many reasons why play of a competitive nature – not mere recreation – matters, just as much today as 28 centuries ago. In fact, in this “modern” world of nonstop electronic conversation, the hour of physical engagement between people may be our most revealing communication.