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.”
Conventional Wisdom
August 9, 2016
The conservative columnist George Will is a baseball junkie who recently hit a homerun in his commentary just prior to the Republican National Convention in Cleveland. He wrote that the show in Cleveland would focus on style and trivia more than the substantive trends of the world’s circumstances.
Mr. Will speculated, and was proven correct, that the Cleveland circus would miss altogether serious developments in the South China Sea that are nearly as threatening as Hitler’s advance across Europe prior to the United States’ entering into what became World War II. He was referring to China’s aggression through the construction of islands and the conduct of military exercises in areas that the World Court has determined do not belong to China. This war on a pristine aquatic environment is upsetting the geopolitical order as well.
This has nothing whatsoever to do with sports except to point out the absurdities of our talking about trivia in one place while near tragedy goes unaddressed elsewhere ... which happens routinely in sports. For example:
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In pro football, the talk is of “Deflategate” more than domestic violence. Or, as the most recent owners’ meeting reveals, on commerce more than concussions.
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In college football, the talk is of billion dollar broadcast deals more than the broken bond between universities and the “students” they send far and wide to compete on television at any hour of any day.
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And in school sports right here in Michigan, stakeholders perseverate about football playoff expansion more than football players’ health and safety. Or on end-of-season basketball tournament seeding more than out-of-season basketball insanity.
Our challenge is to listen to all concerns but to expend leadership capital only on the matters that really matter.