Logo of Phnom Penh Post newspaper Phnom Penh Post - Heart monitoring under scrutiny following cyclist Goolaerts’ death

Heart monitoring under scrutiny following cyclist Goolaerts’ death

Michael Goolaerts of the Veranda's Willems cycling team receives first aid after a crash during the 116th edition of the Paris-Roubaix one-day classic between Compiegne and Roubaix near Viesly in northern France on Sunday. AFP
Michael Goolaerts of the Veranda's Willems cycling team receives first aid after a crash during the 116th edition of the Paris-Roubaix one-day classic between Compiegne and Roubaix near Viesly in northern France on Sunday. AFP

Heart monitoring under scrutiny following cyclist Goolaerts’ death

The death of 23-year-old Belgian Michael Goolaerts from cardiac arrest during the gruelling Paris-Roubaix one-day classic race has pushed the heart monitoring of professional athletes under the spotlight.

Goolaerts, of the Veranda’s-Willems team, was pronounced dead at a hospital in Lille late on Sunday hours after suffering heart failure and crashing, on his own, during the 257-kilometre race.

The incident cast a dark shadow over the 116th edition of the race, known ominously as the “Hell of the North” due to its bone-shaking cobbled sections and overall difficulty.

But Goolaerts’ death on his Paris-Roubaix debut has also raised questions: is enough being done by professional teams and the sport’s world ruling body, the International Cycling Union (UCI), to prevent such tragedy? Can ‘unseen’ heart conditions, which have claimed the lives of many athletes over many different sports, ever be fully detectable?

Here experts in the field discuss whether sport, and cycling in particular, is doing enough.

What do the UCI rules say ?

“According to the current rules of the UCI, teams are obliged to carry out physical and cardiological examination and monitoring [of their riders],” said French doctor Francais Armand Megret, a member of the UCI’s medical commission.

Jacky Maillot, a doctor with the Groupama-FDJ team, underlined that point: “In accordance with the UCI rules, every year we must put our riders through the most gruelling heart stress tests in order to obtain a medical certificate that has no contra-indications [that would prevent riders from competing]. The top-level riders also undergo a heart echography once every two years.”

Despite a battery of tests, some heart defects simply cannot be detected, according to the experts.

“These tests are never 100 percent,” said Kris Van der Mieren, a member of the medical commission for the Belgian cycling federation.

“Even the world’s best cardiologist, carrying out all the available tests – a heart ultrasound, an electrocardiogram – would be unable to detect certain anomalies.

“The only thing we can do is make sure every rider is monitored very closely.”

For the Belgians, Goolaerts’ death from cardiac arrest at such a tender age will prove particularly poignant.

Only two years ago, 22-year-old Daan Myngheer suffered a heart attack and died while racing in the Criterium International.

In 2009, Frederiek Nolf was just 21 years old when he was found dead in his hotel room at the Tour of Qatar from a suspected heart attack. That tragedy was reminiscent of the death of Frenchman Fabrice Salanson, who was found dead following a suspected heart attack at the Tour of Germany in 2003.

What happens when an anomaly is found ?

When tests reveal a heart anomaly, the UCI’s medical rules stipulate that “any impending decision is transferred to the doctor in the team”, explained Megret.

Such a case came to light in 2016 when Belgian Johan Vansummeren, then aged 35, was sidelined by his team AG2R after tests revealed heart problems. A former Paris-Roubaiux winner, Vansummeren retired only a few weeks after AG2R’s decision.

For Dr Megret, there is one improvement that can be made: transferring any final decision to an external, independent expert.

“When a heart defect or anomaly is detected, it is the team doctor who makes the decision. But I believe an independent expert should determine which tests are carried out and who makes the decisions,” he added.

“Our objective is to detect the risks involved, which tests must be done to detect them, and once the defect is found, which preventative and protective measures can be taken and how they can be integrated into the regulations so they can be applied,” he added.

Christophe Brandt, manager of the Belgian team WB-Aqua Protect-Veranclassic, said: “I don’t think there’s been any lack of foresight. First of all, we have to wait for the autopsy results [to determine if the heart attack was caused by or was the cause of the crash].

It happens to everyday people every day, we can’t just focus on the fact he was a top-level athlete. Maybe it’s simply another fatality.”

MOST VIEWED

  • Ethnic group ‘disappointed’ to be denied French visas to attend court

    Eleven people at the centre of a case involving seven indigenous Bunong villages in Mondulkiri province pursuing legal action in France have expressed disappointment after the French embassy in Phnom Penh denied their visa applications to attend court. A press release said the 11 included a

  • Cambodia nabs 12th place in best retirement destinations

    Cambodia is an expatriate hotspot for those dreaming of living a more luxurious lifestyle at an affordable cost, according to International Living’s Annual Global Retirement Index 2019. For the fourth year in a row, Cambodia took the top spot in the Cost of Living category.

  • EU starts EBA withdrawal

    The EU on Monday announced that it has begun the 18-month process of withdrawing the Kingdom’s access to its preferential Everything But Arms (EBA) agreement over “a deterioration of democracy [and] respect for human rights”. However, the Garment Manufacturers Association of Cambodia (GMAC) said

  • PM: War result of foreign meddling

    Prime Minister Hun Sen said on Sunday that Cambodia’s recent history of conflict was caused by foreign interference. “The wars that happened were caused by provocation, incitement, support, smearing and interference from foreign powers, and the group of ignorant people who pushed Cambodia to