from an AFP story, which asks "Can 'unseen' heart conditions, which have claimed the lives of many athletes over many different sports, ever be fully detectable?":
Megret, from the UCI's medical commission, suggests one change that should be considered:"According to the current rules of the UCI, teams are obliged to carry out the 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 contraindications (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%," Kris Van der Mieren, a member of the medical commission for the Belgian cycling federation, told AFP.
"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 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.