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
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
525-535Informations de copyright
© 2022 The Authors.
Références
J Multidiscip Healthc. 2018 Jan 19;11:49-61
pubmed: 29403284
N Engl J Med. 2018 Aug 09;379(6):524-534
pubmed: 30089062
J Am Coll Cardiol. 2017 Oct 10;70(15):1902-1918
pubmed: 28982505
Br J Sports Med. 2013 Feb;47(3):122-4
pubmed: 23303758
Eur Heart J. 2021 Jan 1;42(1):17-96
pubmed: 32860412
J Am Coll Cardiol. 2015 Dec 1;66(21):2350-2355
pubmed: 26542656
Eur Heart J. 2018 Apr 21;39(16):1466-1480
pubmed: 28329355
Eur Heart J. 2018 Jun 1;39(21):1949-1969
pubmed: 29029207
PLoS Med. 2013 Oct;10(10):e1001531
pubmed: 24143138
Br J Sports Med. 2017 Feb;51(3):153-167
pubmed: 27660369
Br J Sports Med. 2021 Nov;55(21):1196-1203
pubmed: 33184114