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.”
Dodger Lessons
August 6, 2013
The first baseball team I played on was the Dodgers. I’ve been a Dodger fan ever since, checking their place in the National League standings almost every day of the season, year after year. It would have been difficult to learn more about sports and life from any professional sports franchise than one could learn from the Dodgers as I was growing up.
It was the Dodgers who returned integration to the Major Leagues in 1951, which from my home in central Wisconsin seemed unremarkable; and when I became old enough to think about baseball, Jackie Robinson was my most favorite player for a long while.
It was the Dodgers who led the Major League’s migration from the northeast to the west, which my young mind could not grasp. From historic Brooklyn to Los Angeles? To play in the Coliseum?
I could not know then that this leading edge of professional sports franchise mobility would become an early adopter of a new toy called “television,” and that this would solidify baseball’s place as the national pastime for two more generations.
I coped with tragedy as catcher Roy Campanella suffered a paralyzing injury. I considered religion’s place in life as Sandy Koufax declined to pitch on Jewish holy days.
The Dodgers of my youth already knew that life is not fair. How could it be after Oct. 3, 1951, when the hated Giants’ Bobby Thompson hit a ninth-inning homerun to steal the National League pennant from my Dodgers?
Sadly, the Dodgers of more recent years have been beset by the kind of ownership dramas now common among professional sports as the insipid idle rich ruin even the most stable and storied franchises.
And speaking of rich, had it not been for my dear mother’s insatiable desire to clean out every closet she found, I might be rich too. For I had collected, and kept in mint condition, the baseball card of every Dodger player of the 1950s. They were thrown out while I was away at college.