It's every
parent’s worst nightmare – watching their son or daughter collapse and
die from a sudden heart attack. It was a nightmare that came into sharp
focus when Cameroon midfielder Marc-Vivien Foe died during an
international match in France this summer.
The supremely fit
28-year-old, who played for West Ham and Manchester City during his time
in this country, fell to the ground during a televised match in front of a
huge crowd in the 72nd minute of a Confederations Cup semi-final against
Columbia.
He was stretchered off
and given mouth to mouth resuscitation and oxygen, but 45 minutes of
frantic efforts to restart his heart failed.
It traumatised the
sporting world and reawakened tragic memories for the family of
14-year-old Ruth Salisbury, a pupil at the Beacon School in Banstead.
She was on holiday with
her family at a New Forest holiday camp in October 1997 when she
complained of feeling tired and dizzy. Shortly afterwards she collapsed
and died.
Her family were
devastated. Although her father’s cousin had died suddenly at the age of
14, her parents Tim and Silvia had never given a thought to sudden death
among adolescents and young adults.
As they tried to come to
terms with Ruth’s death, they learnt to their horror they were not alone
– up to eight young people die suddenly in the UK every week from
undiagnosed heart problems.
They also discovered 80
per cent of deaths among young competitive athletes are due to inherited
congenital heart disease.
It was at this point
they came across Cardiac Risk in the Young (CRY), a charity set up by
Alison Cox, ex-wife of tennis star Mark Cox.
She founded the charity
in 1995 when her son Steven, a tennis play with a promising future in the
game, was diagnosed as having a major heart defect. If it had gone
undetected it could have cost him his life.
He was on a sports
scholarship at a huge American university when a fellow scholar collapsed
and died without warning. The university tutors ordered all the sports
scholars to undergo medical tests before taking part in any further
exercise and Steven’s heart defect was discovered.
Terrified It was a
traumatic time for Steve and his parents. “I was frightened,
terrified. I was told he must never run across the road again,” says
Alison.
“He asked how I would
feel if he continued to play tennis. I had to work out how I would cope if
he started playing again and dropped dead in front of me, but we gave him
the freedom to make choices,” said Alison.
Steve decided to take
medical advice, gave up sport and returned to the UK to reinvent his life
and start a psychology degree at Surrey University.
Now 28, he works for CRY
at its Tadworth based offices and is a vital part of the team set up to
further research into heart defects, particularly testing for them and
investigating the psychological effects of the tests.
Since CRY was set up, it
has developed several areas of activity, promoting research into heart
disease, raising awareness of sudden death syndrome – when a child or
young adult suddenly dies without warning – and campaigning for a major
screening programme to pick up genetic heart irregularities which can be
carried through both the father and the mother.
It has also raised money
to donate specialist equipment to surgeries and hospitals and runs a
counselling programme to help parents coming to terms with the death of a
child.
CRY is running a
campaign to make doctors more aware of the rare heart conditions that can
cause youngsters to feel dizzy or faint after exercise. Usually the
symptoms are not significant but sometimes they can be the first sign
something is very wrong.
With early diagnosis,
youngsters can be treated and learn to take sensible precautions which
allow them to live a normal life.
Some young athletes at
the top of their respective sports are already tested at specialist CRY
centres, but Alison wants the scheme extended much further, so every
youngster has a routine electrocardiogram (ECG) test at about the age when
they would normally have their BCG vaccination.
“What this would do is
to pick up most, most but not all of the conditions we are trying to raise
awareness of. It would make a major contribution to stopping these deaths
in young people,” she says.
“People who carry the
genetic condition can live all their life and never be troubled by it but
they can pass it on to their children.
“One of the ethical
problems we face is, is it right to tell someone they have a condition
that will never affect them even though knowing about it will give them
great anxiety?
“My answer is that it
is ethical. Women say to me ‘if only I had known I was a carrier, I
would have chosen not to have children and would have adopted’.
“They will say they
believe this was their right, they should have had the freedom of choice
and instead they have to confront the tragedy of losing a child and
knowing they are the carrier of the gene that led to the death of their
child.” She is convinced the cost of screening every youngster would be
cost effective.
“You can’t quantify
the cost of grief. Families sometimes become dysfunctional after such a
death. You can have a serious collapse of a parent who finds they are a
carrier of a gene that has just not killed one child but put the siblings
at risk as well.” Ruth Salisbury’s mother Silvia has tried to turn her
tragedy into something constructive.
She and her husband and
son Tom, 17, moved to Cornwall last year for a change in lifestyle.
She adds: “You do
understand so much more. Because of your experience you have something to
offer people who are in the middle of it simply because you have been
through it too.
“It
is something you never get over. It changes but you don’t forget. It is
there, like your shadow.”
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