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Screening young athletes for cardiac disease.

Sep 02, 2016

It is always shocking to hear of the sudden death a child or young adult on the sports field and one’s immediate reaction is to think that screening these participants would immediately reduce the risk. The ‘literature’ as it stands does not however support this view and that is why the US and UK bodies do not advocate national screening programmes for all those partaking in sport. The reasons for this are complex but essentially boil down to fact that the risk is very small in asymptomatic people, no screening programme could identify all the conditions that may predispose to sudden death and a lot of people would be prevented from playing sport who may never run into problems.

I think a sensible approach would be for there to be better training of the public in resuscitation techniques and for there to be a greater availability of defibrillators in public places.

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Blood pressure - can we go too low?

May 30, 2017
A recent analysis in the Lancet of two hypertension trials (ONTARGET and TRANSCEND) which finished recruiting in 2008 have confirmed the ben…

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