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jake-head-shot.jpgJake Young is a MD/PhD student at Mount Sinai School of Medicine focusing in Neuroscience. He is due to graduate in 2032. He received a BS and a MS in Biological Sciences from Stanford University -- where he spent most of his time drinking heavily and building vegetable catapults instead of learning information that would now be eminently useful. When he is not failing terrifically to perform his sworn duties, he enjoys watching bad movies, ethnic food, and running.

Pure Pedantry is a blog about science -- social sciences and otherwise -- as well as academic and scientific culture. No one can live on science alone, so I also like to dwell on pop culture, periodically explore the humanities, and indulge in other types of geeky goodness.

Jake is joined periodically by two wonderful guest bloggers: Kara Contreary and Kate Seip. See the About Page.

DISCLAIMERS: 1) Jake Young is not a licensed physician (yet). He is merely a medical student. The information published on this site is not intended for use in medical decision making. Please seek advice from a licensed, medical professional before making any health decisions. 2) The opinions expressed are my own or those of my co-bloggers. They do not represent the views of SEED magazine or the educational establishments we currently attend.

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« The Science of Magic | Main | Should we lower the drinking age back to 18? »

Screening football player's hearts

Category: Medicine
Posted on: August 18, 2008 2:54 PM, by Jake Young

The University of Georgia has started doing health screens to check their football players for possible arrhythmias or heart abnormalities:

Makiri Pugh is not your typical college freshman. At age 18, he knows more than most young adults about the structure and health of his heart, and it's not because he's sick.

Pugh, of Charlotte, North Carolina, was recruited to play football for the University of Georgia Bulldogs, ranked No. 1 in pre-season polls.

Like other elite athletes at the school in Athens, Georgia, he was required to undergo a battery of medical tests before he took the field.

What made this checkup unique is that it specifically screens athletes for the risk of sudden cardiac arrest and other heart problems.

Sudden cardiac arrest affects more than 400,000 people every year in the United States and is the leading cause of death among young athletes, according to the National Athletic Trainers' Association.

"What we're looking for today is some evidence that would signal to us that there is an underlying heart problem," explained Atlanta-based cardiologist Winston Gandy.

Gandy is part of a team of doctors who provide the in-depth exams for the student-athletes at UGA. They look at everything from their eyesight to their hearing to their heart rhythm.

Gandy volunteers his time as medical director of a program called Athlete's Heart Beat.

"There are things that we can pick up with an electrocardiogram or with echocardiography that we may need to follow and in some cases could be career ending," Gandy said.

I think that is excellent. I have talked a bit before about the likely causes of sudden death in young athletes. (That post was in reference to the sudden death of an Olympic marathon runner.) In most cases, the causes of sudden death in young athletes are due to arrhythmias or developmental abnormalities in the heart muscle. We do have ways of detecting these problems -- EKGs and echos being the best. EKGs and echos aren't really that expensive or difficult procedures to perform. They just take a bit of time. As a consequence, I would definitely classify these as preventable deaths.

I am happy to see the University of Georgia is taking the lead at trying to identify these abnormalities before you have a dead player on the field. I would like to see other programs adopt similar tactics.

Comments

Georgia is not the only place that does health screenings. I think most major programs do this now. Here is the story of Sam Maresh, a Minnesota football recruit whose health screening uncovered a heart murmur that requires surgery and will probably end his football career:

http://www.startribune.com/sports/preps/19717374.html

Posted by: CS | August 18, 2008 11:31 PM

Screening is a step in the right direction. I think we're beginning to see athletes, the pinnacle of physical fitness, are not necessarily healthy. Performance and health are often at odds. This is obvious when you consider how many athletes end up injured or develop disease after retirement.

Now the real question that we don't like to discuss: why aren't we promoting a diet that can really save people's hearts? The current guidelines are moderate, and it appears moderation kills:

http://www.heartattackproof.com/moderation_kills.htm

Posted by: Presh | August 19, 2008 4:59 AM

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