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Hello, everyone, this is Debian. I cannot tell you how thrilled I

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am to bring doctor unkit Shaw today. We are going to be covering a

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lot of good topics for athletes and
I want to share with you. Doctor

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Unkitshaw is a sports cardiologist, and
for young athletes, we don't even think

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about the things that they need to
focus on. So before we get started,

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let's ask doctor un Kitshaw. So, doctor Shaw, can you share

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with us what got you in that
sports cardiology. Yeah, as I was

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thinking about what I wanted to do, you know, I thought about merging

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to my best interest, which was
cardiology and athletes in sport and sports creology

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was the perfect fit. I actually
wrote crew in college, and unfortunately I

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had a teammate who died suddenly at
a cardia arrest after finishing first place,

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and he was not able to be
resuscitated. And so when we think about

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young athletes, you know, unfortunately
some of them are born with heart problems

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or they have genetic heart disease.
And so while they're some of the fittest,

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healthiest looking people, they actually some
of them have underlying heart disease.

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And so this is a really nice
field that helps sort of navigate both the

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young athletes and the older athlete.
And that's one of the things that we

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don't think about because there are parents
and I know so many of my friends

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have young kids, and they think, like, you know, if you're

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that cardiology is only for older people. So can you tell us, like,

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you know, if you're whether you're
a parent or a young athlete,

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or if you're a young athlete yourself
like you are in sports, So what

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are the things that they can look
out for? Yeah? Absolutely, I

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mean, so one of the first
things is dividing a little bit by age.

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If you're less than thirty five,
you're thinking about things that are going

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to be something they're born with a
genetic heart problem or a congenital heart problem,

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and so signs and symptoms that you
shouldn't ignore or chest pain, shortest

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of breath, passing out, lightheadedness
or dizziness. If you see all of

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your other teammates are going and you
always are the slowest. Organs have to

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stop more or take more breaks and
you can't keep up, that might be

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a red flag. So the biggest
thing is not sort of ignore symptoms.

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Okay, so you mentioned about that, you know there may be some athletes

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who may have congenital heart problems,
but so many times because when they're young,

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people don't even check for it.
So you've talked about the symptoms.

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So just as an athlete, especially
like you know whether you're in college playing

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D one division or any or like
even if you're in high school or now

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if you're in olympics or professionals,
what could they do so that they know

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that they do not have continital or
they can rule it out. The best

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thing and the biggest thing is going
to see a primary care pedutrician every year

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and making sure you go through the
whole list of symptoms. They'll ask you

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about your family history and be honest, if you're having symptoms, don't ignore

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them. Let him or her nerve
and they'll send you to cardiologists refer the

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work up in certain scenarios and EKG
or what your cardiogram can be indicated,

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and that can pick up a lot
a lot of the causes of sudden death

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and athletes and this is such a
specialty field. And as you talked about

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looking at the symptoms, so can
you share with us. I'm going to

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go back to the first thing that
you mentioned about your growing teammate as to

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what happened, What mark did it
leave on you? Yeah, I mean

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that being at that age and losing
a teammate, and obviously I mean having

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someone who again you thought was extremely
healthy and one of the fittest athletes in

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our team, and for him to
die suddenly, it's obviously profound and it

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has, you know, impact,
and this is part of my giving back

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and just sort of learn and try
to prevent another athlete from dying suddenly if

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I can. And I know because
you, as we have talked previously,

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you were very young at that time, and such a loss can be prevented

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for the most part. I mean, actually, this is a nice segue

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into what we can do. And
so sometimes, regardless of whatever screening you

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do, cardiacoris will happen in young
athletes or in older athletes, and so

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being prepared is the best thing we
can do. So emergency action planning,

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which is like the defibrillators, having
AEDs on the sidelines, in the practice

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environments on the field is one of
the best things that we can do.

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Families and students should learn CPR.
Ah that you brought up a really good

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point that family and students should learn
CPR. So what would you say,

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is like the common practice nowadays?
I mean, so American Heart Association has

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like a two minute online hands only
CPR video, So taking that, I

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mean, the best thing would be
actually getting a class and being certified,

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but not everyone has to do that. So you can watch the American Heart

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Association videos on hands only CPR and
then learning how to use an AD.

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They actually are auto made it and
so even if you've never used it,

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you shouldn't be nervous because when you
turn it on and open it up,

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it actually walks you through each step
and says put the pads on the patient

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that tells you to step away or
to chart or you know, hit the

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shock button. So it actually walks
you through the whole process. So we

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have not talked about the prevention.
We have also talked about what you can

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have on hand now as far as
actually the concern, what can they do

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in the day to day lives to
keep their heart healthy. Yeah, I

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mean, so we know that exercise
is one of the best things you can

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do to keep your heart healthy,
and then everyone should be doing I mean

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at least one hundred and fifty minutes
a week of moderate exercise, which can

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be brisk walking. The athletes that
we see typically are doing way more than

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that and biggerous exercise. And you
know, I think the common risk misconception

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is that you can eat and drink
whatever you want if you're an athletic,

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and so I see that all the
time. But unfortunately those are risk factors,

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and so I try to educate all
my patients while my athletes on the

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fact that you have to maintain the
rest of your lifestyle also in a healthy

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way. There's also this sense that
if I an athlete, I don't have

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any underlying medical problems. What we've
seen and when we studied some of the

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ultra runners from a local race,
is that you know, about eighteen to

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twenty percent of ultrarunners have a cardiac
respector so don't ignore blood pressure, cholesterol,

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diabetes, because all of that can
be treated and should be treated regardless

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if you're an athlete or not.
No, that's you said it, like,

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you know, Okay, I'm exercising, I don't have to pay attention.

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So this brings home really a good
point that it's important that how you're

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living your life just because you're an
athlete doesn't mean you stop there. You

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take care of the rest of the
life. Right. So, doctor Shane

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know you've worked with a lot of
professional leagues and professional teams. So can

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you share with one of the teams
that you work with and any story that

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you may have that how you have
helped athletes maintain not only the performance but

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good hot health. Yeah, absolutely
so. I mean locally when as part

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of mens A health is actually cardiology
for a lot of the local teams here

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Baltimore Orioles, Washington Capitals, Baltimore
Ravens And I am still the team cardiologist

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for USA Swimming, the national team, and you know, athletes and taking

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care of them is in a lot
of different perspectives. This field is very

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unique. So there's obviously the patient
in front of you, where the athlete

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comes in to see you with symptoms. But when you work with some of

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these teams that are national, you
know, I've gotten a phone call from

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my colleagues who are on the field
so to say, so to speak from

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around the world, from different parts
of Asia, when they had an athlete

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who was an emergency room in Asia
and they called me and said, he

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is this the right plan? Should
we be doing this and so you can

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sort of help guide an athlete from
around the world. And then more recently,

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we had a tournament locally and there
was an athlete who had seen a

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cardiologist in London, had an issue
locally, and so we connected virtually with

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his cardiologists, with the athlete,
with the athletic trainers. It's really a

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full team sport, and we created
a plan for him and we got his

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heart procedure done the next day and
he was back tennis two weeks later.

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So it's really really nice. So
that's fantastic that just because if you have

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any issues doesn't mean that your career
is over. Yeah, definitely not.

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I mean there's a lot of things
we can treat that if we find and

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then hopefully be fully corrected and go
back without much risk. One of the

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things that we've learned is that you
know, this whole engaging the patient and

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having them be a little bit autonomous
and so shared decision making. That we

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try to engage the patient and say, hey, this is what we know,

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but there's a lot that we don't
know. We think potentially this is

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a low risk condition and if you
want to pursue it, we'll sort of

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work with you and keep you as
safe as possible. In certain scenarios,

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we do think it's too high risk
and we'd sort of recommend against competitive sport,

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but we can still try to keep
them active. Oh that's fantastic,

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And you have mentioned about a lot
of different values like, Okay, you

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can do this, you can have
these things, but what can they do

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actively? So let's say if somebody, you know, any regular athlete,

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were to come to you, so
can you share, like, you know,

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how do you take care of them
and how do you help them with

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their performance? Ye? I mean, it really depends on what they're coming

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in with. So if it's an
athlete who or someone who's just trying to

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get started with activity and exercise,
we world of recommend that they slowly build

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up and engage with them. For
people who are already try athletes, we

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would put them through our testing or
you know, based on their history and

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make sure they're safe to continue and
then you know, certain space on some

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of the tests we do. We
do part upon exercise testing. It can

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provide them some data that they can
then take back to their coaches and work

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to sort of specify their training programs
and a lot of our audience may be

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thinking, you know, they have
their athletes and they're thinking, Okay,

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I know that doctor Chad's heart is
in the right place because his wife's bigger

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than who he is. He wants
to give back to the community, and

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think about it as young as he
was in college. You're like eighteen nineteen

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years old, and here you are
petched by your teammates unexpected accidental demise,

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and he is in here for their
hearts. And as I have observed him,

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I have observed doctor shall bring his
heart and care to athletes. Can

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you share that what would be different
coming to you versus going to any other

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place? Yeah, well, there's
very few people that are Fellowship trained in

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sports critology. But then bigger than
that, I mean, I think you

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know, I think you coming into
this office, you'll know that we actually

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genuinely care about your symptoms and want
to work with you to either figure out

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if there's something wrong or to make
sure everything is okay. Your practice is

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a little bit different in that we
try to you know, we have a

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lot of patience coming from out of
town, and so we will try to

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coordinate all of the testing same day. I'll review everything before you leave,

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and so we'll have a plan at
the end of the day or end of

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the visit with what to do next
or if everything looks okay to sort of

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you know, recommend that you don't
need any exercise restration. And you know,

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in terms of the practice model itself, there's no phone trees. People

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are into the phone, the appointment
times are longer and not sort of hurried

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and limited. Yeah, and as
I know, you have athletes coming to

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you from on around the country.
So if you're an athlete, and or

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if you're a parent of an athlete
and want to have good performance and good

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healthy life, and if you're looking
and I don't about y'all, I know

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for me it's important to have the
right doctor, the right lawyer, the

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right accountant, and you know,
those people who are in your corner and

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who will not only root for you, but who will uplift you and take

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care. Then you will be the
best hens of Doctor Shah. That what

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I can tell you. And I've
seen doctor Shaw over the years an amazing

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care. You cannot find a better
doctor than doctor Shaw. So if you're

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there, definitely check it out and
can you share with us website and where

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people can find you. Oh,
absolutely, and I'll say it's very common

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for us to see second opinions as
well. So a lot of people who've

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seen one to two or three cardiologists
and want to come in with all that

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data and to review it and can
you know, make sure everything was done

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correctly or give you a different path. So our website is www dot Sports

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and Performance Cardiology dot com and the
phone number is two four oh eight nine

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two seven zero seven zero. Well, thank you doctor Schelle for joining us

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today and it was such a pleasure
having this conversation, and thank you for

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providing the nuggets. And you can
listen and you can reach out and for

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any other things of course, you
can reach out to us as always.

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You know we are here to support
you at your service all the time.

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See you next time, take care, Bye, Thank you,