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

Juliette C van Hattum1, Sjoerd M Verwijs1, P Jeff Senden2

  • 1Department of Cardiology, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.

Mayo Clinic Proceedings. Innovations, Quality & Outcomes
|October 21, 2022
PubMed

Insights

A sports cardiology multidisciplinary team (MDT) improves diagnosis accuracy for athletes, leading to more tailored sports advice and fewer restrictions. This approach enhances athlete care and reduces unnecessary cardiac pathology diagnoses.

Area of Science:

  • Sports Cardiology
  • Cardiovascular Health
  • Exercise Medicine

Background:

  • Structured sports cardiology multidisciplinary teams (MDTs) are essential for evaluating athletes and patients engaging in sports.
  • The infrastructure, practices, and outcomes of these specialized teams require systematic investigation.

Purpose of the Study:

  • To investigate the infrastructure, practices, recommendations, and clinical consequences of a sports cardiology MDT.
  • To document the impact of MDT reviews on diagnosis and sports participation for athletes.

Main Methods:

  • Established bimonthly sports cardiology MDT meetings with a panel of experts.
  • Retrospectively analyzed cases from April 2019 to May 2020, collecting follow-up data up to 1 year.
  • Included national and international referrals from cardiologists and sports physicians.

Main Results:

  • 115 athletes underwent MDT review; 38% had suspected cardiac pathology revised to no pathology.
  • Definitive diagnoses increased significantly (77 to 109, P=.03).
  • Total sports restrictions decreased (6 to 0, P=.04), with more tailored advice provided.

Conclusions:

  • Sports cardiology MDTs enhance diagnostic accuracy and reduce unnecessary cardiac pathology diagnoses.
  • MDTs facilitate tailored sports advice, leading to high adherence rates and fewer restrictions.
  • The findings underscore the significant value of sports cardiology MDTs in patient and athlete care.
Abstract

Keywords:
Amsterdam UMC, Amsterdam University Medical CentersCVD, cardiovascular diseaseICD, implantable cardioverter-defibrillatorMDT, multidisciplinary teamSEM, sports and exercise medicine

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