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.”
System Failure
October 19, 2012
Almost every week we learn of another college or professional athlete who has exploded in rage, abused a fan or friend, been busted or broken parole, been stopped for speeding or DUI.
Among very many reasons why, one of the greatest may be this: we taught them to behave this way . . . the system caused them to become this way.
Sometimes the positive character traits taught through high school sports are overwhelmed by the extravagant attention given to athletes by the media, college recruiters, ranking services, agents, promoters and sporting equipment/apparel companies. Good kids begin to believe the hype, thinking they're not only above the crowd, but above the law. They go from being self-confident, to self-centered, to self-serving.
There are good reasons that, in school sports, we attempt to restrain the hype and deflect attention from individual to team. We could use some help at home and in the media.