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.”
MVPs
November 10, 2015
This is the time of year when postseason banquets are occurring at many schools to mark the end of the fall season. In many cases, a “Most Valuable Player” will be announced and honored.
The qualities of the MVP are usually apparent ... often the player who scored the most points, gained the most yards, or won the most races or matches. But that’s not always the case; and it shouldn’t be.
Sometimes the MVP is the playmaker, the blocker for the scorer, or the team’s most inspiring player who energizes others or improves a team’s chemistry or performance in ways that statistics can’t measure.
I think about Major League Baseball’s American League MVP in 1942. It was Joe Gordon. That season, he led the major leagues in errors, strikeouts and most times hitting in double plays. But still he was the league’s MVP.
Sometimes referred to as “Flash Gordon,” this second baseman, who played for the Cleveland Indians and New York Yankees, was renowned for his defense. And he should serve as a reminder that sometimes the MVP is not such an obvious choice.