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.”
Practice Makes Perfect?
May 19, 2013
For years, leaders of educational athletics have been critical of sports specialization, citing the physical, emotional and financial price that is often paid by young people and their families as young athletes (or their parents) chase unrealistic dreams. The weight of evidence I’ve seen has made me conclude that sports specialization is good for some, but a multi-sport experience is better for most young people.
Recently I’ve read about a new challenge to the sports specialization myth. It’s called “interleaving.” It posits that “mixing things up” is a better way to train; that brains and muscles get a better workout by mixing tasks.
This is getting national attention at thedanplan.com which chronicles a 30-something commercial photographer, Dan McLaughlin, who quit his job in Oregon with the goal of becoming a top-level professional golfer. He had read in Malcolm Gladwell’s Outliers that 10,000 hours of practice would gain him international expertise.
Along the way on this quixotic journey, Dan McLaughlin not only has been testing the 10,000-hour theory, he’s been testing interleaving – mixing lengths of putts during putting practice, mixing different types of shots on the driving range, etc.
Time magazine reported in April that this has the attention of UCLA’s Learning and Forgetting Lab which is testing the Florida State University theory popularized by Gladwell, and is searching for “the biological sweet spot.”
FYI: McLaughlin has not yet qualified for the PGA tour. But on the other hand, he still has about 4,000 practice hours to go.