CARDIOVASCULAR PREVENTION AND CARDIAC REHABILITATION UNIT

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Controller:  Dr. Alejandro Berenguel Senén

Controller: Dr. Abraham López Ricardo 

We are a pioneering unit in our environment and our differentiating factor is specific training in Sports Cardiology. We have proposed to make available to athletes, both amateur and competitive, the entire battery of tests, technology and knowledge that we use in high-competition sport.

 

We are a pioneer unit in our environment and our differentiating factor is specific training in Sports Cardiology. We have proposed to make available to athletes, both amateur and competitive, the entire battery of tests, technology and knowledge that we use in high-competition sport. Our mission includes various aspects:

  1. Detection of heart problems that may put sports practice at risk
  2. Advise heart patients who want to continue practicing sports or start practicing it
  3. Optimize performance by studying the level of training (with special attention to problems derived from overtraining) and advising on improving sports performance. 

We are experts in performing the ergospirometry technique (also known as cardiopulmonary stress testing, with gas analysis or measurement of oxygen consumption), to, among other things, truly and directly determine VO2 maximum (maximum capacity to transport oxygen to the tissues and use it for its transformation into energy) and measure the aerobic and anaerobic thresholds. Our team has accumulated experience of more than 7.000 tests carried out over the last decade and hundreds of professionals from throughout the national territory and South America have been trained under our tutelage.

The tests we routinely perform are:

ELECTROCARDIOGRAM

  • First and indispensable test with which every cardiological study must begin.
  • It detects a large number of problems that make a more in-depth study advisable.
  • Despite being the only one required in current sports recognitions, many problems can go unnoticed just by carrying them out.

COLOR DOPPLER ECHOCARDIOGRAM

  • The fundamental test in cardiology when it comes to ruling out diseases potentially causing Sudden Athlete Death Syndrome.
  • A functional study of the heart is carried out in motion and in real time (anatomy, strength, valves...)
  • It is capable of ruling out between 85% and 90% of causes potentially responsible for sudden death.

SPIROMETRY

  • Study of lung function that measures the absolute magnitude of lung capacities and volumes, as well as the speed with which these can be mobilized (air flows).
  • It is carried out under basal conditions (simple) and maximum capacity (forced).

ERGOSPIROMETRY

Integration of a conventional stress test, capable of ruling out coronary problems, assessing arrhythmias with exercise or checking the behavior of blood pressure with exercise, with spirometry during exercise (using a mask attached to the athlete's face) that also measures , using a gas analyzer, the exact amount of oxygen that our body is consuming (VO2 max), as well as the amount of carbon dioxide it is producing.

  • The VO2 max is the most appropriate determination to measure the capacity to perform aerobic exercise: higher oxygen consumption is typical of well-trained athletes.
  • The aerobic and anaerobic threshold allows you to establish the ideal intensity of aerobic (running) and anaerobic (series) training, to optimize performance, and recommend competition paces.
  • It is a specific photo of the athlete's temporal moment and the thresholds are not the same at the beginning of the season as they are at the end of it.
  • Recommended for elite athletes between 1 and 3 times a year and for amateur athletes at least once every 1-1 years, depending on the competitive level.
  • When the occasion requires it, we complement the study with a lactate curve and preparation of the corresponding METABOLIC MAP, very useful for the prescription of exercise both in high performance and in  METABOLIC REHABILITATION programs.

SUPPLEMENTARY TESTS

In necessary cases, the study can be expanded with simple tests, such as 24-48 hour arrhythmia recordings (HOLTER), sports holter monitoring of up to 5 days, or 24-hour blood pressure recording (ABPM). When necessary, it can be expand the study with high-tech imaging tests, such as CARDIO RESONANCE or CORONARY ARTERY CT, or invasive studies such as ELECTROPHYSIOLOGICAL STUDIES or HEMODYNAMIC STUDY

STUDIES TO HIGHLIGHT

We have proposed to universalize Sports Cardiology, so that any subject can access our services, just as an elite athlete does in High Performance Centers. We think that, in sport, when it comes to health, there should be no categories or distinctions. For this reason, in order to reduce costs and be able to universalize our services to the general public, we have designed two packs that combine different tests, depending on your needs:

“SPORT” CARDIO PACK

    • Sports Cardiology Consultation
    • Physical examination and taking vital signs
    • Electrocardiogram
    • Spirometry
    • cardiopulmonary stress test
    • Dossier with report of results (delivered at the same time as the consultation)
    • Basic sports advice

“ELITE” CARDIO PACK

    • Sports Cardiology Consultation
    • Physical examination and taking vital signs
    • Electrocardiogram
    • Spirometry
    • Echocardiogram
    • cardiopulmonary stress test
    • Dossier with report of results (delivered at the same time as the consultation)
    • Advanced sports advice

Find out about our agreements (and their discounts on the SPORT and ÉLITE packs) with: Training Rey, VV Runners, Club Máximo Trail, Club Atletismo Aranjuez and the Ultratrail and Montaña Cerro del Bú Sports Club and the Navatrail Mountain Club.

Likewise, if you have a MEDICAL INSURANCE COMPANY and have been treated as a patient in our Cardiology Unit at QUIRÓN SALUD TOLEDO, you will have a discount, analogous to those applied in the agreements, in the SPORT and ELITE packs.

PRICES

    • SPORT PACK: €130 (agreement price €100)
    • ELITE PACK: €200 (agreement price €150)

APPOINTMENT

ADVANCED AND PERSONALIZED SPORTS ADVICE

If you are interested in taking your performance a step further, or if you are simply starting out and find yourself lost or disoriented, we have an advanced sports advisory service. Our team of trained and qualified personal trainers will advise you to the extent you need, either through a single consultation for a first orientation based on the results and thresholds obtained in ergospirometry, or for long-term follow-up if that is your choice. desire.

There are a series of high-performance tests that can be applied to amateur sports to obtain better results and gain safety when it comes to preventing injuries. In this way you will be able to obtain a longer and more satisfactory sports career. Some of the studies carried out are:

  • HRV (Heart Rate Variability): analysis of heart rate variability
  • MLSS (Maximal Lactate Steady State): study of the maximum lactate stable state
  • Linear dynamometry: power/speed curves of different muscle groups
  • Biomechanical analysis of the stride: video filming and subsequent software analysis of a series of biomechanical parameters of the athlete's running stride.
  • Jump test: measurement using force platforms and application of different types of jumps, certain fundamental running parameters (recruitment capacity, synchronization capacity, coordination capacity and ability to use the arms) to improve performance.
  • Somatocarta: establishment of the biotype that the athlete presents, since this test indicates the anthropometric modifications that occur throughout a training session.

Expand details and prices of the different services in our Sports Cardiology Consultation.

Controller: Dr. Alejandro Berenguel Senén

Coach: Mr. Manuel Gallango Brejano

The concept of Metabolic Rehabilitation has been proposed in recent years by the renowned Spanish physiologist and researcher, based for almost 2 decades in the United States, Iñigo San Millán. Dr. San Millán, the result of his field work with high-performance athletes from multiple sports disciplines, as well as his enormous research work based on the use of exercise therapies to treat various pathologies such as cancer, diabetes, cardiovascular diseases or Alzheimer's, has become one of the world's leading authorities on the subject. As a result of his research, he has been able to verify how mitochondrial dysfunction, a problem due to which mitochondria, key organelles of our cells in the energy production that allows us to carry out any physical activity, is systematically present in various pathologies such as those mentioned above. . And, likewise, he has been able to verify how therapies based on properly prescribed and dimensioned physical exercise are capable of improving, and even reversing, said mitochondrial dysfunction. This concept, based on the use of exercise in a personalized and precise manner, in order to reverse mitochondrial dysfunction, is what is called Metabolic Rehabilitation.

Our team has been working with Dr. San Millán for years on various research projects, which has allowed us to learn first-hand about Professor San Millán's teachings and, in a pioneering way in Spain, and exclusively in QUIRON SALUD TOLEDO, This methodology will transcend the healthcare field, making our innovative Metabolic Rehabilitation programs available to all our patients. 

Metabolic Rehabilitation offers transversal programs, exquisitely adapted to each patient, with their different clinical conditions, being able to carry out as many different programs as diverse patients come to our Exercise and Health Clinic. Just as no two patients are the same, no two Metabolic Rehabilitation programs will be the same.

 

PROGRAMS TO HIGHLIGHT

Our most notable programs are:

  • Cardiac Rehabilitation
  • weight loss program
  • Post-COVID functional recovery program
  • Post-surgical rehabilitation (cardiac, thoracic or other surgery)
  • Oncological rehabilitation (during the active process, during chemotherapy treatment or after it)
  • Functional improvement in peripheral vascular disease
  • Postpartum functional recovery
  • Prehabilitation programs
    • Pre-cardiac surgery
    • Pre-lung surgery
    • Pre-bariatric surgery
    • Chemotherapy pre-treatment
    • Antenatal classes

 

WHAT OUR PROGRAMS INCLUDE

All programs include the initial and final medical evaluation, with its precise complementary tests, the coach's initial and final evaluation, with its precise complementary tests, and the training sessions, both in person (in our personal training center) and tele monitored.

 

PRICES

Check the prices and details of our different programs, as well as their subscription methods. For all of them, the payment will be made in 3 easy installments: one at the beginning of the program, another one month after it and a final installment at the end of the program (normally 8-10 weeks after its start).

For example, for a program of €600 (price applicable to many of the programs described), the subscription would consist of 3 payments of €200 (at the beginning, at the month and at the end)

On the other hand, you can also choose to contract one of our services offered in isolation, without being part of a program as such, to configure your package of tests or treatments to suit you, depending on your needs.

Finally, you can also choose to contract one of our loyalty cards, called SPORT 360 CARDS, in one of its four modalities (BASIC, BRONZE, SILVER, GOLD and PLATINUM), whose benefits, prices and subscription methods you can consult in the following table.