IPL 2020: ‘Life and death issue, cardio-stress test not enough’


Written by Devendra Pandey
| Mumbai |

Updated: September 6, 2020 1:24:08 am





chaharDeepak Chahar, who examined optimistic for Covid-19, stated on his social media handles on September 1 he felt match and hoped to be in motion ‘very quickly’. (Source: File)

The IPL has mandated a ‘cardio-stress test’ to all gamers who’ve examined optimistic for Covid-19 after they get well. However, for the reason that long-term results of this virus on athletes remains to be largely unknown, well being professionals and trainers warn about speeding again into taking part in competitively.

Two Chennai Super Kings gamers examined optimistic in IPL, elevating questions on how quickly gamers who’ve examined optimistic ought to be pressed into motion. On September 1, Deepak Chahar, one of the infected players, posted on his social media handles that he was hoping to return soon. “…I am better now and trying my best to keep myself fit. Hopefully, you will see me in action very soon,” he wrote.

Sources within the Board of Control for India advised The Indian Express: “The Cardio-stress test is to ensure that players have recovered fully and the virus hasn’t harmed any parts of the body. As there have been reports that the virus does damage the lungs after leaving the body.”

Infectious-disease consultants and well being professionals do not have sufficient knowledge to make conclusions about how Covid-19 would possibly have an effect on an athlete’s hearts and lungs. But among the preliminary findings have alarmed them. In some circumstances of asymptomatic sufferers who’ve examined optimistic, proof of myocardial damage, an irritation of the center and often outlined by an elevated troponin degree have been discovered.

READ | BCCI set to spend around Rs 10 crore for 20,000 plus tests

Ramji Srinivasan, high-performance coach and power and conditioning coach of India’s 2011 World Cup crew, warns towards speeding the gamers again into motion.

“This is a life-and-death issue. Just a stress test to test the pulmonary levels may not be enough. This isn’t a fitness issue, it isn’t like an injury; that’s the first thing we need to understand. As a trainer, I don’t want blood on my hands by rushing through. The IPL would be played in hot weather conditions and it’s a high-pressure tournament where the stakes are high. The kind of stress a fast bowler, say, puts on his body is insane and we don’t know how a body post-Covid (asymptomatic or serious) reacts to such severe intensity. We need a proper medical team to take care of the recovery process. Worldwide, studies are emerging about the post-Covid scenario for athletes, which warns us that it can even get fatal,” Ramji advised this newspaper.

“Based on what the doctors are saying and studies emerging, I would say at least two weeks of rest after they recover, after they test negative. Let the body stabilise, and then careful monitoring should be done along with a battery of medical tests from ECG to a blood test to confirm as much as possible that the recovery is proceeding well,” Ramji says. “The truth is that we don’t have enough information as of now and there is a thin line between will power that all athletes feel they have in abundance and foolishness. It’s better to be safe than sorry.”

Rajasthan Royals squad after arriving in UAE sustaining all well being protocols. (Source: File)

Sports heart specialist Dr Tim Beaver of Kansas Medical centre within the US warned in regards to the severity that’s going through the sports activities world.

“I think we’re dealing with a population of young people that are healthy and the majority of them are going to be safe. The problem is that with the propensity of this virus to affect the heart more and emerging data showing asymptomatic people having evidence of inflammation. That concern about baseline rate of sudden death with myocarditis being around 8%, that could be higher because you have a population that’s going to be active. So, that inflammatory phase or even the post-inflammatory phase when you develop a little scar could put you at higher risk,” Beaver stated in an internet seminar of the University of Kansas Health System.

Dr SK Chhabra, the pulmonary medication head at Delhi’s Primus Hospital, says one of many fallouts of Covid-19 is there’s a scar on the lungs. “The condition is called lung fibrosis. If the scar is large, then it will reduce the lung capacity,” Dr Chhabra advised this newspaper.

According to Dr Beaver, the issue with Covid-19 is that one can’t depend on athletes exhibiting the standard signs related to coronary heart issues. “With other viruses in the past, you would be able to identify an athlete or anyone with myocarditis or pericarditis, which is the inflammation of a sack around the heart by them having come in with symptoms. They would have chest pain, shortness of breath, other things, and then they would start to get active studies and then get referred on to a cardiologist from the sports medicine physicians. That’s the tough thing with Covid, is that we’re finding it in asymptomatic people and we’re not sure what to do with that. There’s a lot of unknowns and that’s why when we’re being asked if we know if it’s safe, we don’t know because we don’t have a lot of information.”

Ramji reckons it’s greatest to play protected and monitor the restoration interval rigorously with the assistance of medical professionals. “With the kind of money, fame, and potential benefit to their careers that IPL provides, it’s understandable that players might want to get back to action quickly but it’s the responsibility of the authorities to ease them back. Don’t risk and regret later.”

READ | CSK to start training after all, except 13, test negative again

How to watch gamers’ well being post-Covid

The gamers should be rigorously monitored for at the least two weeks after recovering and the workload ought to be slowly elevated underneath skilled supervision. Chest x-rays are wanted to see if it reveals any scar, a CT scan of the chest could also be required and a lung-function test ought to be performed. Dr SK Chhabra, the pulmonary medication head at Delhi’s Primus hospital, says the assessments ought to be adopted with weight administration to cowl up dietary deficiencies and that this could occur for five-six months after restoration. “Even if it shows 100% recovery, the monitoring should continue. After that, there should be a pulmonary rehab.”

IPL groups to play three apply matches

IPL groups can be taking part in three apply video games amongst themselves. It is learnt the groups wished these warm-up video games to be performed with different sides however the request wasn’t permitted by the IPL. With a lot of the gamers coming with none aggressive video games, it was determined to permit groups to play three warm-up matches amongst themselves.

(With inputs from Sriram Veera)

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