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.”
Yogi
October 27, 2015
We lost a treasure when Yogi Berra died last month at the age of 90.
I hope a lot of people attended his funeral. After all, it was Yogi who said, “Always go to other peoples’ funerals, otherwise they won’t come to yours.”
Yogi had an intriguing mind for math. It was he who told us to “Pair up in threes.” He informed us that “A nickel ain’t worth a dime anymore.” He said, “Baseball is 90 percent mental and the other half is physical.” And, “You better cut the pizza in four pieces because I’m not hungry enough to eat six.”
Yogi was a sage observer of everyday life. In fact, he told us “You can observe a lot just by watching.” He observed that “No one goes there nowadays, it’s too crowded.” And, “It gets late early.”
Of course, Yogi ought to have known a lot about baseball, a sport in which he excelled and enjoyed unprecedented and unduplicated success as catcher for 10 World Series championship teams. He was an 18-time All-Star; but with characteristic humility, Yogi confessed, “In baseball, you don’t know nothing.”
While wise about many things, Yogi wasn’t correct about everything. When he said, “It ain’t over til it’s over,” he was wrong. It ain’t ever going to be over for Yogi.
And yet, without Yogi, “The future ain’t what it used to be.”