The Sports Cardiology Team: Personalizing Athlete Care Through a Comprehensive, Multidisciplinary Approach.

Amsterdam UMC, Amsterdam University Medical Centers CVD, cardiovascular disease ICD, implantable cardioverter-defibrillator MDT, multidisciplinary team SEM, sports and exercise medicine

Journal

Mayo Clinic proceedings. Innovations, quality & outcomes
ISSN: 2542-4548
Titre abrégé: Mayo Clin Proc Innov Qual Outcomes
Pays: Netherlands
ID NLM: 101728275

Informations de publication

Date de publication:
Dec 2022
Historique:
entrez: 21 10 2022
pubmed: 22 10 2022
medline: 22 10 2022
Statut: epublish

Résumé

To systematically investigate and document the infrastructure, practices, recommendations, and clinical consequences of a structured, organized sports cardiology multidisciplinary team (MDT) for athletes and patients who wish to engage in sports and exercise. We established bimonthly sports cardiology MDT meetings, with a permanent panel of experts in sports cardiology, genetics, pediatric cardiology, cardiovascular imaging, electrophysiology, and sports and exercise medicine. Cases were referred nationally or internationally by cardiologists/sports physicians. We retrospectively analyzed all MDT cases (April 10, 2019 through May 13, 2020) and collected clinical follow-up data up to 1 year after the initial review. A total of 115 athletes underwent MDT review; of them, 11% were women, 65% were recreational athletes, and 54% were performing "mixed" type of sports; the mean age was 32±16 years. An MDT review led to a diagnosis revision of "suspected cardiac pathology" to "no cardiac pathology" in 38% of the athletes and increased the number of definitive diagnoses (from 77 to 109; Our experiences with a comprehensive sports cardiology MDT demonstrate that this approach leads to higher percentages of definitive diagnoses and fewer cardiac pathology diagnoses, more tailored sports advice with excellent rates of adherence, and fewer total sports restrictions. Our findings highlight the added value of sports cardiology MDTs for patient and athlete care.

Identifiants

pubmed: 36267910
doi: 10.1016/j.mayocpiqo.2022.08.006
pii: S2542-4548(22)00059-5
pmc: PMC9576626
doi:

Types de publication

Journal Article

Langues

eng

Pagination

525-535

Informations de copyright

© 2022 The Authors.

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Auteurs

Juliette C van Hattum (JC)

Department of Cardiology, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.

Sjoerd M Verwijs (SM)

Department of Cardiology, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.

P Jeff Senden (PJ)

Department of Cardiology, Meander Medical Center, Amersfoort, the Netherlands.

Jessica L Spies (JL)

Department of Cardiology, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.

S Matthijs Boekholdt (SM)

Department of Cardiology, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.

Maarten Groenink (M)

Department of Cardiology, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.

Nicole M Panhuyzen-Goedkoop (NM)

Department of Cardiology, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.
Department of Cardiology, Sports Medical Centre Papendal, Arnhem, the Netherlands.

Albert R Willems (AR)

Department of Cardiology and Hospital Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands.

Ingmar Knobbe (I)

Department of Paediatric Cardiology, and University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.

Nicolaas A Blom (NA)

Department of Paediatric Cardiology, and University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.

Cornelis A C M Wijne (CACM)

Department of Sports Medicine, Hospital Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands.

Gustaaf Reurink (G)

Department of Sports Medicine, Hospital Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands.

Saskia N van der Crabben (SN)

Department of Clinical Genetics, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.

Nick R Bijsterveld (NR)

Department of Cardiology, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.
Department of Cardiology, Flevoziekenhuis, Almere, the Netherlands.

Evert A L M Verhagen (EALM)

Department of Epidemiology of Sports, Exercise & Health, Amsterdam UMC, Amsterdam, the Netherland.

Yigal M Pinto (YM)

Department of Cardiology, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.

Arthur A M Wilde (AAM)

Department of Cardiology, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.

Harald T Jørstad (HT)

Department of Cardiology, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.
Department of Cardiology, Sports Medical Centre Papendal, Arnhem, the Netherlands.

Classifications MeSH