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.”
Everyday Heroes
October 21, 2014
The last two Heisman Trophy winners have been mostly an embarrassment to college football after receiving what is supposed to be the sport’s highest individual award.
This has caused me to recall that Charles Schulz, the creator of “Peanuts” comic strip, was said to have often asked people to name the last few winners of the Heisman Trophy, the Pulitzer Prize, Miss America and Academy Awards. He reported that few people could name many of the recipients.
Then Mr. Schulz would ask the same people to name teachers and/or coaches who had inspired them. He reported that just about everyone had at least one to name quickly.
Schulz’s point was that for most of us, it is not award winners whom we remember. For most of us, the really important people are the “everyday heroes” who influenced our lives without fanfare or tribute.