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.”
Sportsmanship and Success in Soccer
August 16, 2012
Ralph Polson, president of the National Soccer Coaches Association of America (NSCAA), reports in the July/August 2012 Soccer Journal that there is a strong statistical link between sportsmanship and success in intercollegiate soccer. He cites the work of Tim Lenahan, head men’s coach at Northwestern University, who compiled total fouls, yellow cards and red cards for the 2011 season to create a “Fair Play Rating” (FPR).
Polson reports that 12 of the 20 teams with the top FPR made the NCAA tournament, while only one of the teams in the bottom 20 did. Of course, this is a statistical link, not necessarily cause and effect. But here’s how Mr. Polson concludes his column:
“How should we interpret this data? One direction is toward more disciplined teams. It seems to me the more a culture of sportsmanship and fair play is established, the more likely any team is to demonstrate the consistency needed for success. The data suggests those teams without entrenched standards, with respect to on-field behavior, should anticipate a higher likelihood of failure in today’s highly competitive environment.
“Play within the spirit of the game and more than just a win may be gained; play against the spirit of the game and much more than just a game may be lost.”
Dr. Brian Crossman, chair of the NSCAA Ethics Committee, contributes this to the discussion in the same issue of Soccer Journal:
“A five year study from 2007 to 2011 of almost 4,700 intercollegiate soccer matches in which only one player was red-carded during the match showed a strong likelihood that the player’s team would lose. Teams that had one player red-carded lost 67 percent of the matches, tied 10 percent of the matches and won 23 percent of the matches. In other words, a team that had a player red-carded at any time during the match was three times more likely to lose the match than win it. Taking steps to encourage clean and fair play, and thus to reduce the likelihood of having players ejected, will pay dividends in sportsmanship and should improve your team’s won-loss record.”
For more, go to www.nscaa.com.