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Kommentar zum Positionspapier der EACPR zur Etablierung eines europaweiten Curriculums für eine Zusatzqualifikation Sportkardiologie

Commentary on the position paper of the EACPR on establishing a Europe-wide curriculum for an additional qualification in sports cardiology

  • Positionspapier
  • Published:
Der Kardiologe Aims and scope

Zusammenfassung

Sport- und bewegungsbezogene Fragestellungen haben in den letzten Jahren eine zunehmende Bedeutung in der Prävention und Therapie kardiologischer Krankheitsbilder erlangt. Beispiele sind die Erkennung und Beurteilung kardialer Risiken im Leistungs- und Freizeitsport sowie der Einsatz individualisierter Trainingsinterventionen bei Patienten mit kardiometabolischen Risikoprofilen oder manifesten Herzerkrankungen. Die notwendigen differenzialdiagnostischen und therapierelevanten Kenntnisse werden allerdings bisher nur unzureichend in bestehenden Weiterbildungsordnungen erfasst. Um dieser Entwicklung im Hinblick auf eine Qualitätssicherung Rechnung zu tragen, hat die Sektion Sportkardiologie der European Association for Cardiovascular Prevention and Rehabilitation (EACPR) kürzlich ein Positionspapier zur Erlangung einer Zusatzqualifikation Sportkardiologie auf europäischer Ebene vorgelegt. Das Paper fasst die für eine entsprechende Qualifikation erforderlichen Fachkenntnisse zusammen und schlägt vor, diese entweder auf Basis einer fachärztlich-kardiologischen oder fachärztlich-sportmedizinischen Weiterbildung erlangen zu können. Der Fokus der europäischen Initiative liegt überwiegend im Bereich der Prävention des plötzlichen Herztodes im Leistungssport. Die Autoren dieses Kommentars begrüßen die Initiative ausdrücklich, da auch in Deutschland ein großer Bedarf an qualitätsgesichertem sportkardiologischem Fachwissen besteht. Im Gegensatz zur EACPR wird aber eine Zusatzqualifikation Sportkardiologie ausschließlich auf Basis eines Facharztes Kardiologie mit Zusatzqualifikation Sportmedizin befürwortet. Zudem sollten neben kardiologischen Aspekten des Leistungssports auch Fragestellungen aus der Primär- und Sekundärprävention kardialer Erkrankungen mindestens ebenbürtig betont werden. Ziel ist die Etablierung klarer sportkardiologischer Kompetenzen und Richtlinien, um Patienten und Sportlern einen optimalen Benefit aus sportlicher Aktivität bei minimalem Risiko zu gewährleisten.

Abstract

In recent years, physical activity and exercise training have increasingly been acknowledged to be important components of the prevention and treatment of cardiac disease. This includes, but is not limited to, the evaluation of cardiovascular risks in competitive and recreational athletes, and the prescription of individualized exercise interventions in patients who are either at increased cardiometabolic risk or have overt cardiac disease. In contrast, exercise-related issues relevant to differential diagnosis and treatment are not adequately reflected by current curricula for general cardiologists. Thus, the sports cardiology section of the European Association of Cardiovascular Prevention and Rehabilitation (EACPR) has recently published a proposal for a core curriculum for a European sports cardiology qualification. This position paper summarizes the steps, procedures, and knowledge required to become a sports cardiology specialist, suggesting that this subspeciality should be acquired on top of a qualification in either general cardiology or sports medicine. The EACPR recommendations predominantly focus on the prevention of sudden cardiac death in competitive athletes. The authors of the present commentary explicitly appreciate the European initiative, as there is a clear need for qualified sports cardiologists in Germany as well. However, in contrast to the EACPR proposal, a sports cardiology subspeciality should only be acquired in addition to a qualification in general cardiology. Moreover, apart from the cardiovascular care of competitive athletes, the significance of sports cardiology within prevention and rehabilitation should at least be equally emphasized. The goal is to establish clear guidelines and competences to enable safe and beneficial sports participation for both patients and athletes.

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Authors and Affiliations

  1. Universitätsinstitut für präventive und rehabilitative Sportmedizin, Institut für Sportmedizin des Landes Salzburg, Sportmedizin des Olympiazentrums Salzburg-Rif, Salzburg, Österreich

    J. Niebauer

  2. Lehrstuhl und Poliklinik für Präventive und Rehabilitative Sportmedizin, Klinikum rechts der Isar/Technische Universität München, Georg-Brauchle-Ring 56, 80992, München, Deutschland

    A. Preßler & M. Halle

  3. Medizinische Klinik, Abteilung Sportmedizin, Universitätsklinikum Tübingen, Tübingen, Deutschland

    C. Burgstahler

  4. Institut für Sport- und Präventivmedizin, Universität des Saarlandes, Saarbrücken, Deutschland

    J. Scharhag

  5. CardioCentrum Düsseldorf und Institut für Prävention und Sportmedizin, Düsseldorf, Deutschland

    S. Berrisch-Rahmel

  6. Klinik für Kardiologie, Krankenhaus Bethanien Moers, Moers, Deutschland

    S. Möhlenkamp

  7. CCB Cardioangiologisches Centrum Bethanien, Frankfurt am Main, Deutschland

    A. Schmermund

  8. Klinik für Kardiologie, Schwerpunkt Sportkardiologie, Herz- und Diabeteszentrum NRW, Bad Oeynhausen, Deutschland

    K.-P. Mellwig

  9. Kardiologie, Sportmedizin, Praxis für Innere Medizin, Remscheid, Deutschland

    H. Löllgen

  10. Munich Heart Alliance, Deutsches Zentrum für Herz-Kreislauf-Forschung e. V., München, Deutschland

    M. Halle

  11. Else-Kröner-Fresenius-Zentrum, Klinikum rechts der Isar/Technische Universität München, München, Deutschland

    M. Halle

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  1. J. Niebauer
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  2. A. Preßler
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  3. C. Burgstahler
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Niebauer, J., Preßler, A., Burgstahler, C. et al. Kommentar zum Positionspapier der EACPR zur Etablierung eines europaweiten Curriculums für eine Zusatzqualifikation Sportkardiologie. Kardiologe 10, 9–23 (2016). https://doi.org/10.1007/s12181-015-0034-4

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