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.”
Impaired Judgment
September 5, 2017
Twenty-five years ago, we were helping to address the problem of steroids in sports, as well as other performance or appearance enhancing substances. We segued to concern for creatine use and then to caffeine over-use. Today the emerging epidemic is opioids.
As we moved over the years from one drug-related concern to another, we were reminded, and did some reminding, that none of these concerns posed as great a health threat to students as either tobacco or alcohol.
Laws and public opinion have reduced tobacco use across much of daily life in America. It’s universally accepted that both smoking and smokeless tobacco are unhealthy, and smoking is explicitly prohibited in most public and private places where people gather. Smoking is no longer cool; smokers are sent out into the cold.
However, the same cannot be said about alcohol consumption. Public drinking has been accepted in an increasing number of unlikely places, including college sports venues. Never mind that alcohol is a frequent factor in college academic failures, campus damage and even student deaths; alcohol sales are showing up at college stadiums nationwide.
Booze and college football have been closely linked for years – the staple of the tailgating culture. But, college sports’ addiction to more and more money is now bringing booze inside some of the stadiums. About 50 universities are selling beer at games this season.
Some college administrators say their motivation is not money but an effort to match the spectator experience found at professional sporting events. But isn’t that really about money too?
I stopped taking my family to Major League Baseball games after my young son was bathed in a spectator’s beer; and I left a National Football League game early – never to return to another NFL game – after being exposed to too much “spectator experience” over-energized by alcohol.
I prefer the high school setting.