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The first fellow sports cardiology in the Nederlands

After withnessing a perfect demonstration of tennis at a superb top-level during the finals of the Autralian Open in Melbourne between Roger Federer and Rafael Nadal,  we are very pleased to announce that Dr Harald T Jorstad wil be the first fellow sports cardiology in the Netherlands on April 1st, 2017. Jorstad will be working together and in close cooperation with Panhuyzen at SMCPapendal and in Academical Medical Centre Amsterdam (head: Prof Dr Arthur A.M. Wilde). They both will further develop the subspecialty of sports cardiology at both centres aiming for increased knowledge in arrhythmia and imaging in athletes.

For information

AMC Amsterdam: Meibergdreef 9, 1105 AZ Amsterdam, NL

                      Tel +31 (0)20 566 91 11

                      E

SMCPapendal Arnhem: Papendallaan 7, 6816 VD Arnhem, NL

                      Tel +31 (0)88 088 13 00, please ask for Madelin

                      E info@smcp.nl



Sports Medicine medical specialtyin NL: a major step forward

After a meeting in September 11, 2013, the Dutch Executive Medical Specialist (College Geneeskundige Specialismen, CGS) decided to recognize sports medicine as a specialty. The Minister of Health was asked to recognize the title Sports doctor legally. This has implications for the training of sports doctor, formally use the title sports doctor and set up a register of specialist for sports physicians. (www.sportgeneeeskunde.com or www.knmg.artsennet.nl)

Tour de France participants lived longer than their same-age French counterparts

(ESC congres Amsterdam 2 sep 2013)

Prof Xavier Jouven, cardiologist from Paris, analyzed internet data from French cyclists who participated in the Tour de France between 1947-2012, and compared them with the French male population of the same age. On sep 1st 2012  578 (74%) French cyclists were still alive. The mortality rate of the cyclists was 41% lower than in the general population. The main causes of death were cardiovascular disease (29%) and neoplasms (32.2%), which was less frequently that in the general population. Jouven concluded that high level of exercise such as the 3 weeks lasting Tour de France is not bad for your health.

But, there are some comments (Panhuyzen) on this study: (1) this group of French cyclists are top-level athletes who are highly trained and had several medical clearances before. The chance of identification of a silent cardiovascular disease in this group is very low, compared to the control group. Actually these groups are not comparable; (2) their same-age French counterparts are often from a lower socio-economic class and have probably an unhealthy live style (obesitas, high blood pressure, diabetes, low exercise performance, smoking), leading to a higher number of cardiovascular diseases; (3) we did not hear data about treatable cardiovascular disease during the course of the life of the cyclists, such as arrhythmia or pacemaker implantation. It is well known that many years of high level training may induce fibrosis of the heart, leading to for instance atrial fibrillation and pump failure. One can conclude that pre-participation screening in athletes is useful, and sports participation on a regular basis with a good life style is healthy.

Male of almost 50 years old have the highest risk of sudden cardiac death during a marathon race 

(ESC congress Amsterdam Aug 31 2013)

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