A new wrinkle in returning to sports following infection with COVID-19 emerged in recent weeks. There is concern about potential effects of the virus on the heart. With sudden cardiac death in athletes a concern for all of us in sports medicine, any issues that could cause cardiac damage may get your Spidey Sense tingling. On April 24th, a blog in British Journal of Sports Medicine written by two of my guests today, Dr. Kim and Dr. Martinez, as well as a few other prominent physicians in the area of sports cardiology, was published and I believe was the first to call attention to this topic. A recent article from May 13 was then published as a viewpoint in JAMA Cardiology expanding this concern and providing an algorithm with suggestions in evaluation and management for athletes with COVID. Today’s podcast will touch on these expert opinion recommendations and hope to provide additional clarity as to the level of concern we should have in dealing with our athletes who may have had been infected with COVID-19.
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Links from this Episode:
— Dr. Jonathan Kim https://providers.emoryhealthcare.org/provider/Jonathan+H+Kim/777919
— Dr. Matthew Martinez https://findadoctor.atlantichealth.org/provider/Matthew+W+Martinez/640909
— Dr. Ian Law https://uihc.org/ian-law
— Dr. Andrew Peterson https://uihc.org/andrew-peterson
— BJSM Blog About Cardiac Issues for athletes in COVID-19 era https://blogs.bmj.com/bjsm/2020/04/24/the-resurgence-of-sport-in-the-wake-of-covid-19-cardiac-considerations-in-competitive-athletes/
— JAMA Cardiology viewpoint https://jamanetwork.com/journals/jamacardiology/fullarticle/2766124
— American College of Cardiology Summary https://www.acc.org/latest-in-cardiology/articles/2020/05/13/12/53/exercise-and-athletics-in-the-covid-19-pandemic-era
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The Host of this Program:
Dr. Mark Halstead received his medical degree from the University of Wisconsin Medical School. He stayed at the University of Wisconsin for his pediatric residency, followed by a year as the chief resident. Following residency, he completed a pediatric and adult sports medicine fellowship at Vanderbilt University. He has been an elected member to the American Academy of Pediatrics (AAP) Council on Sports Medicine and Fitness and the Board of Directors of the American Medical Society for Sports Medicine (AMSSM). He has served as a team physician or medical consultant to numerous high schools, Vanderbilt University, Belmont University, Washington University, St. Louis Cardinals, St. Louis Blues, St. Louis Athletica, and St. Louis Rams. He serves and has served on many local, regional and national committees as an advisor for sports medicine and concussions. Dr. Halstead is a national recognized expert in sport-related concussions and pediatric sports medicine.
The Guest Featured Inside this Program
Dr. Jonathan Kim is an Assistant Professor of Medicine and Chief of Sports Cardiology in the Division of Cardiology and Orthopedics at Emory University and additionally holds an adjunct Professorship in the School of Applied Physiology at the Georgia Institute of Technology. He completed undergrad at Emory and was a Fulbright Scholar before attending Vanderbilt Medical School. He completed his residency in Internal Medicine and Pediatrics at Massachusetts General Hospital and a cardiology fellowship at Emory. He is the Team Cardiologist for essentially all the Atlanta Pro sports teams as well as at Emory and Georgia Tech. He is a member of the NBA Cardiac Advisory Committee and the American College of Cardiology’s Sports and Exercise Council.
Dr. Matthew Martinez is director of Sports Cardiology and Co-Director of Hypertrophic Cardiomyopathy program at Morristown Medical Center, Atlantic Health System in New Jersey. He completed his medical school, residency and fellowship at the Mayo Clinic. Dr. Martinez serves as a cardiology consultant for elite and professional athletes including acting as the League cardiologist for Major League Soccer, team cardiologist for the New York Jets and cardiac consultant for the NFL. He has also served as the educational program chairman for the international Athletic Heart Symposium on management of athletes with cardiovascular risk.
Dr. Ian Law is a Professor of Pediatrics and the Director of the Pediatric Electrophysiology Program and of the Pediatric Cardiology Division at the University of Iowa. He completed undergrad and earned his medical degree at the University of Iowa. Dr. Law then completed his residency and pediatric cardiology fellowship at the University of Michigan. His research interests are in the area of pediatric arrhythmia management. He is the former president of PACES, the Pediatric and Congenital Electrophysiology Society.
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Dr. Andy Peterson is an Associate Professor in the Department of Pediatrics at the University of Iowa. He completed undergraduate at Lawrence University and Medical School at the University of Wisconsin. He did his residency training in Pediatrics and completed fellowships in both Primary Care Sports Medicine and Clinical Research at the University of Wisconsin. He now directs the University of Iowa Primary Care Sports Medicine and Sport Concussion Programs. He works clinically as a Sports Medicine Physician and as the Head Team Physician for the Iowa Hawkeyes.