Some have been calling for increased medical screening of student athletes but there is conflicting data that  pre-screening by EKG actually saves lives by weeding out those with high risk pre-existing conditions. Not only is pre-screening by EKG of questionable effectiveness but it is likely to be prohibitively expensive for large populations.
And there are few reliable variables in the patient’s history or physical that would  help to narrow down who should get an EKG or further testing.  Obviously a history of sudden cardiac death with successful resuscitation or other history of chest pain, excessive shortness of breath with exertion, or syncope (collapse or fainting) would help screen patients but the fact is that the vast majority of at-risk athletes have no obvious signs or symptoms or identifiable risk factors until they die suddenly.
Rather then screening a large heterogeneous group for rare cardiac disease to prevent an even rarer case of sudden cardiac death at a potential cost of millions, a better strategy is for any school district or university to invest a few thousand dollars in one or more portable emergency cardiac defibrillators to be available at sporting events and event venues. Most AEDs (automated external defibrillators) today are fool proof.  The device will not allow a user to deliver a shock unless it detects an abnormal heart rhythm and a shock is warranted.
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German media reported that over 10 people were feared dead in a shooting in a shopping mall in the southern city of Munich. The shopping center is next to the Munich Olympic stadium, where the Palestinian militant group Black September took 11 Israeli athletes hostage and eventually killed them during the 1972 Olympic Games.
Friday's attack took place a week after a 17-year-old asylum-seeker wounded passengers on a German train in an axe rampage claimed by Islamic State. The incidents in Germany follow an attack in Nice, France, on Bastille Day in which a Tunisian drove a truck into crowds, killing 84. We use cookies to enhance your visit to our site and to bring you advertisements that might interest you.

Police and paramedics fought to save the victim, thought to be aged in his 20s, who was knifed in Stratford Park this afternoon. Two men have been arrested in connection with the incident and taken into custody, police said.
Pictures emerged on social media of police and ambulance vehicles lining West Ham Lane outside the park as passersby crowded around the railings. Tony Cook, 29, was driving along the road to pick his two daughters up from school when he saw police hurtling towards the park. He told the Standard: “As I was going on the school run I could see the air ambulance above me looking to land.
Metropolitan Police spokesman said: “Enquiries continue to establish the identity of the deceased.
Anyone with the information is asked to call police on 101 or call Crimestoppers on 0800 555 111. On Adblock Plus click "Enabled on this site" to disable ad blocking for the current website you are on. If you are Private Browsing in Firefox, "Tracking Protection" may cause the adblock notice to show. Then click the big power button to whitelist the current web site, and its state will be remembered next time you visit the web site. Additionally, an Oregon high school football player collapsed while playing and required CPR to save his life last September and in January a high school basketball player from Minnesota when into cardiac arrest during a game and required electrical defibrillation to save his life. One study from Israel looked at the rates of sudden cardiac death among student athletes before and after 1997 when screening by EKG became mandatory and found no differences.

The Italian study found that even at a reasonable cost of $40 per  EKG, over 33,000 student athletes needed to be screened in order to prevent one death. A 1996 study of 215,413 marathon runners over 19 years found that none of the patients who died of sudden cardiac death had a known history of heart problems or prior symptoms and half had participated in multiple marathons without any problems.
The same CDC data found that 3% of all deaths in this age group were from cardiac causes which extrapolates to about 1.5 deaths per 100,000 and this is the same rate as the student athlete group. The majority of sudden cardiac death in student athletes is thought to be from a sudden ventricular arrhythmia due to an underlying predisposition and the best treatment by far is the delivery of electrical cardioversion of the potentially fatal heart rhythm. Bavarian police shot dead the teenager after he wounded four people from Hong Kong on the train and injured a local resident while fleeing. And this does not include the costs of additional advanced testing that must be done for each abnormal EKG.
Additionally, the population to be screened should have a relatively high rate of the disease to be screened for so as to maximize effectiveness. Ergo, cancer screening exams are done in older populations who have much higher rates of cancer. This means that there are going to be a significant number of false positives (up to 40%) that need to be evaluated with advanced testing at a cost of several hundred to several thousand per case.

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