Two new studies have been published in the US which focus primarily on the cardiac issues, including severe myocarditis (which can be fatal), being seen in some elite athletes being rushed back to training on or before full recovery from COVID-19.
The first study I heard discussed with some very concerned sounding US college sports physicians on Neil deGrasse Tyson’s excellent StarTalk podcast yesterday.
The observations of that study include:
“Prior to relaxation of stay-at-home orders in the US, the American College of Cardiology’s Sports and Exercise Cardiology Section endorsed empirical consensus recommendations advising a conservative return-to-play approach, including cardiac risk stratification, for athletes in competitive sports who have recovered from COVID-19.
“Emerging observational data coupled with widely publicized reports of athletes in competitive sports with reported COVID-19–associated cardiac pathology suggest that myocardial injury may [even] occur in cases of COVID-19 that are asymptomatic and of mild severity."
Based on current evidence, the authors of the study are worried enough to recommend for athletes returning a positive test:
- who are asymptomatic, *zero* exercise or training for 10 days followed by a slow and graded return to physical activity;
- with mild symptoms, *zero* exercise or training for at least 10 days and until the *full resolution* of symptoms, followed by a slow and graded return to physical activity;
- with moderate symptoms (but not hospitalised), *zero* exercise or training until at least ten days *after* the full resolution of symptoms, followed by a raft of medical exams and then a slow and graded return to physical activity.
Link: https://jamanetwork.com/journals/jamacardiology/fullarticle/2772399
The other study I haven’t read yet, but apparently returns similar interim results and also recommends a far more careful approach to RTP than we’re currently seem to be seeing in the PL.
I’m unaware of any British studies on the subject as yet; but I wonder if we’ll see PL and other UK-based elite sports medics take note and petition their clubs to hold back players a little longer.
Effects of COVID-19 on elite sportspeople
posted on 20/11/20
comment by rosso - it’s not good enough to be right; you have to be effective (U17054)
posted 1 second ago
Just found this when looking for the other study I mentioned above:
“In a small JAMA Cardiology study, researchers found abnormalities in the hearts of 3 in 4 people who had recently recovered from COVID-19 and "ongoing myocardial inflammation" in more than half.
Elite athletes in training and competitive environments obviously put their hearts under much greater stresses than your average healthy adult each and every day. Which is where underlying issues with myocarditis will become a serious risk.
https://www.heart.org/en/news/2020/09/11/a-closer-look-at-covid-19-and-heart-complications-among-athletes
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this is v worrying
fackin' hope i dont catch this before i have my Op
posted on 20/11/20
comment by rosso - it’s not good enough to be right... (U17054)
posted 3 minutes ago
comment by son of quebec (U8127)
posted 21 minutes ago
Do the athletes know this?
Do the pro leagues in USA know?
I remember it took decades for the NFL to admit to neglecting head injuries. Even after being shown studies which proved it.
----------------------------------------------------------------------
Don’t know if the studies have been picked up by the major networks in the US yet, but I haven’t seen anything in the UK or Portuguese media.
For sure the pro leagues in the US will be aware, and I’d bet the UK’s top sports science academics and pros will have read the studies.
How’s life mate?
----------------------------------------------------------------------
NPE has left the building.
Besides that, winter is coming fast here. Covid coming faster tho'. Numbers rising all over the country.
1 person brought it from Winnipeg to Iqualuit (arctic community) about 3 weeks ago now over 75. Not a large medical infrastructure up there.
posted on 20/11/20
Found a UK study suggesting a less cautious RTP schedule here:
https://bjsm.bmj.com/content/54/19/1157
Published a little earlier though.
posted on 20/11/20
comment by son of quebec (U8127)
posted 25 minutes ago
comment by rosso - it’s not good enough to be right... (U17054)
posted 3 minutes ago
comment by son of quebec (U8127)
posted 21 minutes ago
Do the athletes know this?
Do the pro leagues in USA know?
I remember it took decades for the NFL to admit to neglecting head injuries. Even after being shown studies which proved it.
----------------------------------------------------------------------
Don’t know if the studies have been picked up by the major networks in the US yet, but I haven’t seen anything in the UK or Portuguese media.
For sure the pro leagues in the US will be aware, and I’d bet the UK’s top sports science academics and pros will have read the studies.
How’s life mate?
----------------------------------------------------------------------
NPE has left the building.
Besides that, winter is coming fast here. Covid coming faster tho'. Numbers rising all over the country.
1 person brought it from Winnipeg to Iqualuit (arctic community) about 3 weeks ago now over 75. Not a large medical infrastructure up there.
----------------------------------------------------------------------
Yikes; that sounds like a pretty frightening situation.
Can they get people out to the closest hospital with an ICU? Or send equipment up there?
posted on 20/11/20
comment by rosso - it’s not good enough to be right... (U17054)
posted 19 seconds ago
comment by son of quebec (U8127)
posted 25 minutes ago
comment by rosso - it’s not good enough to be right... (U17054)
posted 3 minutes ago
comment by son of quebec (U8127)
posted 21 minutes ago
Do the athletes know this?
Do the pro leagues in USA know?
I remember it took decades for the NFL to admit to neglecting head injuries. Even after being shown studies which proved it.
----------------------------------------------------------------------
Don’t know if the studies have been picked up by the major networks in the US yet, but I haven’t seen anything in the UK or Portuguese media.
For sure the pro leagues in the US will be aware, and I’d bet the UK’s top sports science academics and pros will have read the studies.
How’s life mate?
----------------------------------------------------------------------
NPE has left the building.
Besides that, winter is coming fast here. Covid coming faster tho'. Numbers rising all over the country.
1 person brought it from Winnipeg to Iqualuit (arctic community) about 3 weeks ago now over 75. Not a large medical infrastructure up there.
----------------------------------------------------------------------
Yikes; that sounds like a pretty frightening situation.
Can they get people out to the closest hospital with an ICU? Or send equipment up there?
----------------------------------------------------------------------
I think that's how it got there. Inuit live in multi a generation homes too. Hospitals all over the country are warning of overload and CMO has projections of up to 20,000 per day by Christmas.
Hope they're wrong.
posted on 20/11/20
Does this explain Pogba's shiiiit form?
posted on 20/11/20
comment by son of quebec (U8127)
posted 9 minutes ago
comment by rosso - it’s not good enough to be right... (U17054)
posted 19 seconds ago
comment by son of quebec (U8127)
posted 25 minutes ago
comment by rosso - it’s not good enough to be right... (U17054)
posted 3 minutes ago
comment by son of quebec (U8127)
posted 21 minutes ago
Do the athletes know this?
Do the pro leagues in USA know?
I remember it took decades for the NFL to admit to neglecting head injuries. Even after being shown studies which proved it.
----------------------------------------------------------------------
Don’t know if the studies have been picked up by the major networks in the US yet, but I haven’t seen anything in the UK or Portuguese media.
For sure the pro leagues in the US will be aware, and I’d bet the UK’s top sports science academics and pros will have read the studies.
How’s life mate?
----------------------------------------------------------------------
NPE has left the building.
Besides that, winter is coming fast here. Covid coming faster tho'. Numbers rising all over the country.
1 person brought it from Winnipeg to Iqualuit (arctic community) about 3 weeks ago now over 75. Not a large medical infrastructure up there.
----------------------------------------------------------------------
Yikes; that sounds like a pretty frightening situation.
Can they get people out to the closest hospital with an ICU? Or send equipment up there?
----------------------------------------------------------------------
I think that's how it got there. Inuit live in multi a generation homes too. Hospitals all over the country are warning of overload and CMO has projections of up to 20,000 per day by Christmas.
Hope they're wrong.
----------------------------------------------------------------------
Hope you and the family stay safe and well
posted on 20/11/20
And you and yours, Rosso.
posted on 30/11/20
Comment Deleted by Site Moderator
posted on 2/12/20
Good read lads and thanks for the links to the research 👍