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.”
Dad's Day
April 23, 2012
Today is my father’s 92nd birthday.
Until my wife replaced Dad as my best friend, he doubled as both my best friend and father.
Dad has been inducted into 13 halls of fame nationally, and in Iowa where he was a two-time undefeated state high school wrestling champion, and in Wisconsin where he was a two-time Big Ten wrestling champion for the Badgers before a stellar career as high school and college coach, especially in football and wrestling. All that before his 29½ year tenure as executive director of the Wisconsin Interscholastic Athletic Association.
For two decades Dad chaired the national high school wrestling rules committee, and he traveled nationwide to conduct wrestling rules meetings for coaches and officials in states where local expertise in the sport had not yet developed. It is not a stretch to call him the father of high school wrestling. Certainly no person had greater influence than he during the sport’s formative years on the high school level.
And no person had more influence over my formative years.
So it is becoming increasingly painful to observe my father falter, as all people do who live as long as he has. Simple tasks require an increasing amount of assistance; significant talks fill a decreasing amount of our time. It is agonizing to one who has adored him.
When Dad served the WIAA, his sharp mind and strong voice would make him a top choice to address the toughest topics at National Federation meetings. He received the National Federation’s Award of Merit and is a member of its Hall of Fame.
But perhaps the most meaningful memory I have of Dad’s professional life occurred at his retirement event in late 1985 when the person representing the state’s coaches said this: “John. We may not have agreed with your every decision, but we never once questioned your motives.” There can be no higher praise.