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.”
Common Good
November 23, 2011
During the first week of July in 1995, I read an editorial by Judith A. Ramaley, president of Portland State University in Oregon, that seems as appropriate for today’s events and public policy environment as it was then. Perhaps even more so. Ms. Ramaley wrote:
“I used to think that character is how you behave when no one is looking. For most of us that may still be true. For public figures, however, character is how you behave when everybody is looking . . .
“. . . Nearly a century ago when President Woodrow Wilson was still a college professor, he said: ‘A great nation is not led by a man who simply repeats the talk of the street corners or the opinions of the newspaper. A nation is led by a man who, rather, hearing those things, understands them better, unites them, puts them into common meaning; speaks not the rumors of the street but a new principle for a new age; a man for whom the voices of the nation . . . unite in a single meaning and reveal to him a single vision, so that he can speak what no man else knows, the common meaning of the common voice.’”
As our “modern” nation heads into the heart of yet another election season, with earlier and earlier primaries leaving little separation from the last acrimonious campaigns, it is this quality above all others that I’m seeking to find in the candidates for public office: the uncommon heart and mind to unite us for the common good.