nfl cardiac testing
TRANSCRIPT
CARDIAC & METABOLIC
TESTING:Considerations for the
ATC when Screening
Professional Athletes
Joe Rogowski MA, ATC/L, CSCS
Day 6: Plancher wrongful death case
continues 6.22.2011
•Ereck Plancher Trial - Dr. Douglas Casa
By Ken Tyndall
Testimony in the Ereck Plancher wrongful death trial continued
Monday with cross examination of an athletic trainer from the
University of Connecticut.
As Plancher’s parents looked on, Dr. Douglas Casa answered
questions from UCF attorneys.
“Was he asked to do something that day different or separate
from anybody else on that field?” UCFAA attorney Dan Shapiro
asked.
“He wasn’t but that’s why I said I wish he was,” Casa replied.
Casa also went through more questions from the UCFAA, who
contend that Ereck Plancher died from a heart condition.
292184531
ESTABLISHMENT OF
ATHLETIC HEART CARDIAC &
METABOLIC RESEARCH
INSTITUTEAHI’s Goals:
•Address this particular area of Sports Medicine that has lacked
research & education.
•Make Testing:
•Convenient
•Cost Effective
•Specific for Athletes of Different Sports (Safe for the Athlete,
Equipment, Medical Staff)
Cardiologists Echo
Robert Battle
Aaron Baggish
Peter Noseworthy
Cardiologists Electrophysiologists
Srijoy Mahapatra
Jason Jacobson
Paul Wang
Cardiologists Metabolic
dhanunjay lakkireddy
Cardiac Surgery
Stephen Smith
TJ Bunch
Hafiza Khan
ATC/L’s
Joe Rogowski
Ron Courson
Sonographers
Charley Leonard
Debra Pruett
AHI’s Capabilities:
•Symposiums
• NBA, MLB, AHA, etc.
•Committee of Experts
•Testing and Consulting
• Individual Player
• Individual Team
• Combine
As an Athletic Trainer, What is our
responsibility to our players???
Quote by
Greg McMillan
(Buffalo Bills’ ATC)
Previous Screening
Problems For Teams:
• Affordable
• Safety
• Convenience
• Lack of Database & Research
• Specific for Athlete Population
• Inferior Equipment for Million
Dollar Athlete
Previous Screening
Problems Addressed:• Cost!!! – Average Stress Test = $1,200 – $1,500/ player.
Magic = $500.00/ player w/ gas analysis, HRR, etc..
• Convenience Factor for Players & Athletes
At Facility – 1 Day of Testing
Players are Familiar w/ Equipment
• Specialized Athlete EKG and Echo Techs
• Advanced Technology and Equipment
(Treadmill, EKG, ECHO, Automated BP, Gas Analysis)
• Coaches!!!!
• One of a kind Elite Athlete Database for one’s sport !!!!
Vince Carter 8:00 AM
JJ Redick 8:40 AM
Brandon Bass 9:20 AM
Marcin Gortat 9:40 AM
Malik Allen 10:00 AM
Q Richardson 10:40 AM
Chris Duhon 11:20 PM
Jameer Nelson 12:00 PM
Dwight Howard 12:40 PM
Michael Pietrus 1:20 PM
Daniel Orton 2:00 PM
Rashard Lewis 2:40 PM
Ryan Anderson 3:20 PM
Jason Williams 4:00 PM
Dave Twardzik (GM) 4:40 PM
Stan Van Gundy 5:20 PM
Patrick Ewing 6:00 PM
Steve Clifford 6:40 PM
Bob Bayer 7:00 PM
Coaches
Cardiac
Schedule
Full Stress
Test
Gas Analysis
An Additional Tool
• VO2 Max
• Lactate Threshold
• Specific HR zones
• Specific Calorie Expenditure
• Specific Conditioning Programs
Team Ranking
Rank ID Number VO2 max Forward Defense
ID Number VO2 max ID Number VO2 max
Average: 55.9
Goalie
Average: 52.3
Average: 54.1
Average: 54.6
37 10002137.7
35 10000141.4
36 10003238.3
33 10000244
34 10005742.5
31 10001050.1
32 10003049.5
29 12006350.4
30 10001250.3
27 12005651.8
28 12005550.9
25 10000853.2
26 12002452.2
23 12002254
10002137.7
24 12002353.5
21 10002954.8
10000141.4
22 13199054.5
10003238.3
20 10000355.9
10003049.5
19 12002956
10001250.3
12005550.9
54
18 11004156.1
12006350.4
12002353.5
17 11100256.2
12005651.8
120022
16 110039 56.2 131990 54.5
15 11000956.8
10002954.8
42.5
14 12000557.2
12002956
13 12000657.4
11004156.1
100057
12 11001257.5
11003956.2
10000244
11 11001157.7
11003956.2
10001050.1
53.2
10 10002958
12000557.2
12002452.2
9 13001058.5
12000657.4
100008
56.8
8 10001958.9
11001257.5
10000355.9
7 13000060.9
11001157.7
110009
6 10022261.9
10002958
13001058.5
5 12002362.1
13000060.9
10001958.9
62.3
4 10001662.3
12002362.1
10022261.9
10000668.7
3 100012 62.6 100012 62.6 120023
Position Ranking
1 10000668.7
2 10002563
10002563
39 119 139 121 167 170 172
120 - 139 168 - 170 171 - 172
33 116 152 130 177 183 189
117 - 152 178 - 183 184 - 189
26 150 N/A 152 172 179 185
153 - 172 173 - 179 180 - 220
24 157 N/A 152 170 176 181
171 - 176 177 - 220
21 135 160 149 168 174 179
136 - 160 169 - 174 175 - 220
28 150 N/A 156 171 176 180
157 - 171 172 - 176 177 - 220
30 N/A N/A 159 179 187 194
180 - 187 188 - 220
22 144 167 130 184
184 - 220
24 140 157 119 166 173 180
167 - 173 174 - 220
29 132 169 154 167 178 189
155 - 167 170 - 178 179 - 220
23 N/A N/A 171 177 189 200
172 - 177 178 - 189 190 - 220
22 N/A N/A 184 191 198
185 - 191 192 - 220
Aerobic
ThresholdAT AT 2
Maximum
MeasuredAge
2 Min
Recovery
1 Min
Recovery
Name: Position:Forward Date: Age: 25
VO2 Max: 62.6
Test Information
Heart Rate Recovery (Active) Estimated Peak
2 minute 1 minute AeT AT AT2 Maximum Measured
134 160 158 172 178 184
VO2 max Rank Maximum Heart Rate
3 184
General Guideline
Intensity Zone Heart Rate
Low Intensity Zone >158 Legend
Moderate Intensity Zone 159 - 172
High Intensity Zone 173 - 178 Aerobic Threshold: AeT
Peak Intensity Zone 179 - 184 Anaerobic Threshold: AT
Anaerobic Threshold 2: AT2
This report has been prepared by Athletic Heart.
Abnormal HR Can Indicate
Cardiac Abnormality.
1
2
Orlando Summer League
2010• 30 Athletes Tested EKG & ECHO or
Stress Test
• ECHO Diagnosed Abnormalities:
– 1 ASD (normal EKG)
– 1 Bicuspid Valve (normal EKG)
– 1 High Pulmonary Pressure (normal EKG)
• EKG Diagnosed Abnormalities:
– 1 AFIB
– 1 Hypokalemia
– 3 HOCM (All False Positives) after echo
Dwight Howard Stress
Test w/ Gas Analysis
