We did a test on our triathlete who has been with us for the last 13 years the last month. There were things to mention that have been recorded before for other sports:
1)
The
ECG findings were:
a)
Huge
R waves and T waves on V2,V3,V4,V5,V6 compared to controls and meeting criteria
for LVH (left Ventricular Hypertrophy); without left atrial enlargement,
left axis deviation, ST segment depression, T wave inversion or pathological Q
waves.
b)
IRBBB
(incomplete right bundle branch block) was seen in aVR and V1.
c)
No
ventricular arrhythmia was seen.
2)
His
lactate threshold was located at 178 beats per minute at a speed of 16.7
kilometers per hour.
3)
His
lab work is below. It took us several
years to accomplish the hematocrit and hemoglobin levels working on nutrition
and recovery. The changes suffered several
genetic inductions which most likely are irreversible. Please see our post:
There is a good article written regarding the athletes
changes by ECG, meaning athletes training more than 4 hours a day of training
for decades.
There are very few things like the one I mentioned
above observing and testing athletes; they are well done by Medicine. On the contrary, we have made many mistakes
in Medicine that takes a long time to recuperate from. We have had the Framingham Study for a long
time but we continue to believe in consensus instead of looking at the data
very closely. We are afraid of talking
clearly because we want to be politically correct:
The Framingham
Heart Study is a long-term, ongoing cardiovascular
study on residents of the town of Framingham, Massachusetts. The study began in 1948 with 5,209 adult subjects
from Framingham, and is now on its third generation of participants.[1] Prior to it almost nothing was known about the
"epidemiology of hypertensive or arteriosclerotic cardiovascular
disease".[2] Much of the now-common knowledge concerning heart
disease, such as the effects of diet, exercise, and common medications such as aspirin, is based on this longitudinal study. It is a project of the National Heart, Lung, and Blood Institute, in collaboration with (since 1971) Boston University.[3] Various health professionals from the hospitals and
universities of Greater Boston staff the project.
1)
Overtesting
and Overtreating
A total of 17 medical societies released a list of
almost 90 common but often unnecessary tests and procedures, many of them
ordered for asymptomatic patients.[1] Twelve of the guidelines issued as part
of the "Choosing Wisely" campaign caution physicians that
asymptomatic patients probably do not need a given treatment. Two examples are
stress echocardiograms, which are not recommended for asymptomatic patients who
meet "low-risk" scoring criteria for coronary disease, and computed
tomography, which should not be used to evaluate children's minor head
injuries.
Separately, a national summit involving a wide range
of medical groups, as well as hospital organizations, and government agencies,
issued a policy paper detailing strategies for dealing with 5 overused
treatments that can harm patient safety and quality: antibiotics for the common
cold, blood transfusions, ear tubes for children, early-scheduled births, and cardiac
stents.[2]
2)
DSM-5
Released
After more than a decade of development and more than
2 years of frequently searing controversy, the fifth edition of the Diagnostic
and Statistical Manual of Mental Disorders (DSM-5) was finally released.[3]
Some say that a key change is that expanded diagnostic criteria are based more
on consensus rather than on objective laboratory measures. Some are concerned
that the "DSM-5 will result in the mislabeling of potentially millions of
people who are basically normal. This would turn our current diagnostic inflation
into hyperinflation and exacerbate the excessive use of medication in the
'worried well,' " said Allen Frances, MD, chair of the DSM-IV Task Force
and one of the new manual's staunchest critics. He advises physicians to use
the DSM-5 "cautiously, if at all."[4]
3)
JNC
8 at Last: Updated Hypertension Guidelines
At long last, the Eighth Joint National Committee (JNC
8) in December released its new guidelines on the management of adult
hypertension, which contain 2 key departures from JNC 7 that the authors say
will simplify care.[6] These include relaxing blood pressure targets and
backing away from the recommendation that thiazide-type diuretics should be
initial therapy in most patients. The next day, the American Society of
Hypertension and the International Society of Hypertension released their own
clinical practice guidelines,[7] hinting at the discord among experts that has
delayed new recommendations for over a decade.
4)
Obesity
Declared a Disease
After much impassioned debate, physicians at the American
Medical Association 2013 Annual Meeting in June voted overwhelmingly to label
obesity a disease that requires a range of interventions to advance treatment
and prevention.[8] The decision could have implications for provider
reimbursement, public policy, patient stigma, and International Classification
of Diseases coding. Physicians disagree on whether the ruling will change
everyday practices and whether obesity fits the typical disease parameters, but
all agree the decision has spotlighted the need for resources for a public
health crisis that affects a third of the United States and costs the
healthcare system $190 billion annually.[9]
5)
HIV
Research: Closer to a Cure?
Two exciting studies this year showed promise for a
cure in HIV-infected patients. In October, an infant infected with HIV-1 and
treated with combination antiretroviral therapy (ART) beginning at 30 hours of
age remained healthy and had no detectable signs of HIV RNA at age 30 months,
despite having discontinued ART 12 months earlier.[32] And in November,
researchers reported for the first time that radioimmunotherapy in conjunction
with triple ART can effectively kill HIV-infected cells from patients.[33] In
addition, an in vitro model showed that the radiolabeled antibody crosses the
blood-brain barrier without disturbing the tight junctions of the cells, which
might allow such therapy to reach HIV reservoirs in the brain.
I consider that information given to physicians in the
Medscape page should be public; reason why I am posting it. As you can see, nothing has changed since
Framingham Study. We should continue
using medicine “wisely.”
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