Hitting the Ground Running: Sports and Exercise on the Move at ACC.16

Hoffmeister 2This post was authored by Jana MH Goldberg, MD, cardiovascular disease fellow at the Hospital of the University of Pennsylvania, and a member of ACC’s Sports and Exercise Cardiology Section Leadership Council.

There is one thing that most members of ACC’s Sports and Exercise Cardiology Section have in common – a love for adrenaline. They are often themselves sports enthusiasts, putting in a few miles on the trail before sitting in the conference hall. This adrenaline carries through to the lectures as you can feel the excitement and interest in the room. This is sure to be the case at ACC.16 in Chicago.

We have been talking a lot about exercise prescription, but what about practical insight? Merle Myerson, MD, FACC, will be giving a talk entitled “Why Exercise is Real Medicine: Practical Tips for ‘Prescription’ in Clinical Practice,” during the Lifestyle Medicine intensive. Dr. Myerson, who was an exercise physiologist before becoming a cardiologist, will give a brief overview of the role of exercise in cardiovascular health, forms of exercise (aerobic and resistance), and will go over exercise as a diagnostic tool. She will review how best to give an exercise prescription in terms of duration, intensity and frequency, as well as who to screen prior to beginning exercise. The talk will even cover practical aspects such as whether or not you can code/reimburse for exercise counseling.  Continue reading

Sports Cardiology 101: The Porta Potty

Aaron.Baggish.MD.PhotoThis post was authored by Aaron L. Baggish, MD, FACC, member of ACC’s Sports and Exercise Cardiology Section Leadership Council.

 Providing competent cardiovascular care to athletes requires two basic skill sets. The first skill set, clinical expertise in cardiovascular medicine, is unambiguous and easy to define. By way of mandatory training requirements and completion of subspecialty boards, one cannot practice sports cardiology without being a licensed and board certified cardiologist. The second skill set is a bit less clear and boils down to understanding our patients as athletes and not just as cardiac patients. The importance of “knowing” a specific population is not unique to sports cardiology. No one disputes that patients are best served when barriers imposed by language, religious affiliation and cultural practices are both understood and addressed by care providers. Some even argue that clinicians are most effective in caring for their own. Continue reading

5 Tips For Integrating Sports Cardiology Into Your Practice

Dr.VyselaarThis post was authored by John Vyselaar, MD, member of the ACC’s Sports and Exercise Cardiology Section.

Many of us have multiple roles in our work, and are very busy. I am privileged to consult for professional soccer and football teams, snowboarding and skiing organizations, and professional athletes from other sports. I also have been involved with high-level amateur athletes. However, I am a practicing full-time general cardiologist. I carry a heavy patient load, instruct medical students, residents and fellows, participate in clinical trials, and have become a co-leader of my division at my local hospital.

I hear a common refrain from many practicing cardiologists – they love sports and find sports cardiology fascinating, but are not sure how they could get involved or incorporate this into their busy lives. Here are five tips, from my own experience, that may be helpful: Continue reading

The National Hockey League (NHL) and the Sports Cardiologist

Bush,HowardThis post was authored by Howard S. Bush, MD, FACC, member of the ACC’s Sports and Exercise Cardiology Section.

I am a practicing interventional cardiologist, interested in the cardiovascular evaluation and management of athletes, running the spectrum from the weekend warrior to those who play professionally.  You might ask “how” or “why” someone who opens blocked arteries would get involved in professional ice hockey.  In comparison to the other major league sports in our country, hockey falls a distant fourth in terms of things like revenues, salaries, fan interest, TV markets and organizational infrastructure.  Nonetheless, in December 1992, a patient of ours was awarded a franchise as the NHL expanded and we were asked to be involved in the medical care. My first experience with professional hockey was at the training camp in the summer of 1993 in Peterborough, Canada, with the late coach Roger Neilson. The rest is history.  Continue reading

An Early Career’s Perspective of the ACC.15 Sports and Exercise Intensive

Salazar_Christina 9112This post was authored by Christina Salazar, MD, FACC, member of the ACC’s Sports and Exercise Cardiology Section Leadership Council.

Preparation and performance come to mind as I reflect on my experience as a first time faculty at ACC.15 in San Diego. I had the pleasure of co-chairing one of the four parts of the Sports and Exercise Intensive during ACC.15. It was not a difficult position, but exciting and I was able to meet and interact with several of the leading cardiologists in the field of sports cardiology.

This year’s Annual Scientific Session brought much excitement due to the focus on interactive education. For those of you who attended ACC.15, you were able to experience first-hand the many beneficial educational changes that were visible throughout the conference. In particular, the Sports and Exercise Intensive was a 4.25-hour block of time dedicated specifically to the growing field of sports cardiology. We were fortunate to have many leading cardiologists present during this intensive and in the end there were several take away points. Continue reading

Navigating the ACC.15 Sports and Exercise Cardiology Sessions

Emery_Michael_MD_6-11-14_NOCOATThis post was authored by Michael S. Emery, MD, FACC, co-chair of the ACC’s Sports and Exercise Cardiology Section Leadership Council.

The ACC’s Annual Scientific Session is the cornerstone of ACC education and there are several exciting sports and exercise cardiology sessions planned for this year in San Diego. Be sure to go to the ACC.15 Online Program Planner and/or download the ACC.15 App, available in the iTunes and Google Play stores, and navigate to the “Sessions by Practice Focus – Browse Sports Cardiology” for a comprehensive listing. Continue reading

The Inner Workings of the NFL Combine

This post was authored by Dermot M. Phelan, MD, PhD, member of the ACC’s Sports and Exercise Cardiology Section and director of the Sports Cardiology Center at the Cleveland Clinic.

After a calamitous opener at Ohio Stadium, the Buckeye Nation (including this adopted son of Ohio) rejoiced last Monday night after Ohio State secured the National Championship through the calculations of Urban Meyer, the powerful arm of Cardale Jones and the dancing feet of Ezekiel Elliott. Throughout the country, college athletes went to bed overjoyed, devastated or indifferent but with one eye firmly fixed on Lucas Oil Stadium in Indianapolis. Here, the National Football League (NFL) Scouting Combine will take place within a short few weeks. By invite only, college athletes will have the opportunity to showcase their skills, strength and pace in the hopes of improving their draft status, salary and career prospects. Over the years, this has become a media extravaganza. Who can resist the spectacle of the 40-yard dash and the 225-lbs bench press (14 players have done more than 40 reps!)? Continue reading

A Viewpoint From the Front Lines of Heart Screenings

This post was authored by James Beckerman, MD, FACC, member of the ACC’s Sports and Exercise Cardiology Section.

For the past several years, I have had the honor of volunteering with Play Smart Youth Heart Screenings in Portland, OR, providing free blood pressure and electrocardiogram screenings for nearly 5,000 young people ages 12 through 18 in our cardiology clinics and in their schools. We have identified nearly 200 with hypertension, and approximately one out of every 100 children screened is diagnosed with a cardiac condition, including structural abnormalities like hypertrophic cardiomyopathy, coarctation of the aorta, and bicuspid aortic valves, as well as electrical anomalies like long QT syndrome and Wolff-Parkinson-White syndrome. Along with over 50 screening programs nationwide, from family-run foundations like Simon’s Fund and the Nick of Time Foundation to academic centers like Johns Hopkins, University of Washington and Stanford, we screen kids because we believe that there is value in identifying young people with cardiac conditions before they might become symptomatic or dangerous. We actively fundraise to support our efforts and provide our screenings for free. Continue reading

U.S. vs. Canada: The Emerging World of Sports Cardiology

This post was authored by John Vyselaar, MD, member of the ACC’s Sports and Exercise Cardiology Section.

Sports cardiology is an emerging area of cardiovascular care. It is an exciting time to be involved in this developing field. This is true not only in the U.S., but also internationally.

As a Canadian cardiologist and international member of the ACC, I have been surprised by how similar some aspects of medical practice can be regardless of jurisdiction, whereas others can be quite different. The clinical practice of medically treating patients seems pretty much the same everywhere. Certain things like access to medications or the units you use to measure your lab values (mg/dl vs. mmol/L) may differ slightly, but physicians everywhere still care about using the right anticoagulant or accurately determining a glomerular filtration rate. On the other hand, the practical and financial aspects of actually getting patient care done can vary widely. The impact of single vs. multi-payer insurance, socioeconomic factors, and litigation risk make some aspects of practicing medicine in Canada very different from the U.S. and other jurisdictions. Continue reading

Filling the Gaps in Sports Research

This post was authored by Benjamin Levine, MD, FACC, member of the ACC’ Sports and Exercise Cardiology Section.

The ACC’s Sports Cardiology Summit has become an event that those of us in sports medicine look forward to each year. The summit provides a unique forum for cardiologists, sports medicine physicians, pediatricians, primary care physicians, physician assistants, cardiovascular care associates and other health care professionals with an interest in sports medicine to come together to discuss important topics in the care and treatment of athletes. Continue reading