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.”
Better Business
June 10, 2016
Maybe someday corporations that are generating increasing revenue by wringing money out of a decreasingly active population will realize that it would be a better business plan to promote more physical activity among what has now become the majority of young people – those who are not frequently active.
I am encouraged that “someday” may be coming soon when the symbol of business – The Wall Street Journal – features an article on the dangers of sport specialization that is too early and intense. The article promotes the benefits of balanced participation among youth.
In the May 17 issue, author Ben Cohen wrote this about NBA MVP Stephen Curry:
“Curry is already the most popular NBA player among kids. His approval ratings these days are close to ice cream’s. There was once a time when children wanted to be like Michael Jordan. Now they want to be Curry. But following his example doesn’t mean they have to grow up as the best shooter who ever lived. It may be as simple as dabbling in other sports when they’re still young.
“That’s because Curry is also the poster child for a saner approach to youth athletics. In an age of hyper-specialization, Curry has reached the pinnacle of his sport by doing the exact opposite. He played basketball, but he also played some baseball, football, soccer and basically everything else in a sport buffet. What worked for Curry, experts say, could work for everyone.
“As sports scientists continue to study how elite athletes develop, many of them have come to the conclusion that early specialization is the wrong approach. In the last five years, the American Medical Society for Sports Medicine, the American Academy of Pediatrics and the International Olympic Committee have published research supporting the position that children should sample different sports, rather than picking one too early.
“They have found that specializing in one sport at a young age is unnecessary and may even be unhelpful. Early focus on one sport – and only one sport – can increase the risk of overuse injuries and raise the potential for burnout. It also robs impressionable athletes of a diversity of experiences that can benefit them as they develop both as athletes and adults. The final argument against specialization may be the most obvious of them all: It’s not as fun.”
There’s much more to what Cohen writes, and we have posted on our Health & Safety page. Here is the link.