Debate

Challenges in sports cardiology; US versus European approaches

Bruce Hamilton, Benjamin D. Levine, Paul D. Thompson, Gregory P. Whyte, Mathew G. Wilson

Research output: Contribution to journalComment/debate

10 Citations (Scopus)

Abstract

For practitioners working with elite athletes, the
field of sports cardiology provides clinical, academic,
administrative and fiscal challenges. These
challenges are exemplified and reinforced by the
lack of consistency and consensus both in the literature
and academic presentations. Through the
presentation of a series of clinical questions, this
debate attempts to ‘cut to the chase’ on cardiovascular
issues relevant to the clinician dealing with
elite athletes. In so doing, we hope to crystallize
some of the most important elements of the
complex cardiological management of elite athletes,
in a concise, readable format. Frequently over
the last 10 years, many of the controversies in this
field have been (rightly or wrongly) presented in a
Europe versus USA paradigm. We have chosen to
test whether there really are polarised views across
the Atlantic, by deliberately pitting specialists
from the USA against those from the UK.
Professors Levine and Thompson are both internationally
recognised sports cardiologists, with
immense academic and clinical credibility, and
who will represent the ‘US approach’. Professor
Whyte and Doctor Wilson are cardiac physiologists
with a wealth of experience in the testing, evaluation
and screening of elite athletes, and who have
equally impressive academic credibility and for the
purposes of this debate, they will be representing
the ‘European approach’. To initiate this process,
each team was required to provide a concise
answer (circa 200–300 words) to a series of five
clinical conundrums. Subsequently, each team had
the opportunity to provide a rebuttal to the opposing
team’s answers, and the following reflects the
consolidation of those answers.
Original languageEnglish
JournalBritish Journal of Sports Medicine
Volume46
Issue numberSUPPL. 1
DOIs
Publication statusPublished - Nov 2012
Externally publishedYes

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Cardiology
Athletes
Sports

Cite this

Hamilton, B., Levine, B. D., Thompson, P. D., Whyte, G. P., & Wilson, M. G. (2012). Debate: Challenges in sports cardiology; US versus European approaches. British Journal of Sports Medicine, 46(SUPPL. 1). https://doi.org/10.1136/bjsports-2012-091311
Hamilton, Bruce ; Levine, Benjamin D. ; Thompson, Paul D. ; Whyte, Gregory P. ; Wilson, Mathew G. / Debate : Challenges in sports cardiology; US versus European approaches. In: British Journal of Sports Medicine. 2012 ; Vol. 46, No. SUPPL. 1.
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Debate : Challenges in sports cardiology; US versus European approaches. / Hamilton, Bruce; Levine, Benjamin D.; Thompson, Paul D.; Whyte, Gregory P.; Wilson, Mathew G.

In: British Journal of Sports Medicine, Vol. 46, No. SUPPL. 1, 11.2012.

Research output: Contribution to journalComment/debate

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