Salanson Continued

"B. Lafferty" <[email hidden]> wrote in
:"]news:[email hidden]: Short version of original post

Quoted message said:

From ProCycling:

procycling.comnews main.aspOpen ↗ A report into the death of Brioches La
Boulangère’s Fabrice Salanson has revealed that medical tests done on the 23-year-old Frenchman
just three weeks before his death had revealed serious abnormalities.

I just watched the 2002 LBL in which i believe salanson made a durand like solo break as was off the
front for over 130K all I can say is wow. He had talent.

In article <[email hidden]>, "B. Lafferty"

Quoted message said:

From ProCycling:

procycling.comnews main.aspOpen ↗ A report into the death of Brioches La
Boulangère’s Fabrice Salanson has revealed that medical tests done on the 23-year-old Frenchman
just three weeks before his death had revealed serious abnormalities.

Initial suspicion that Salanson’s death might have been related to doping were quashed when the
autopsy revealed no evidence that the Frenchman had used doping substances. However, the French
daily ‘Le Parisien’ has released details of tests carried out on Salanson in Nantes 22 days before
the heart attack that caused his premature death in Dresden the day before the start of the
Deutschland Tour.

Le Parisien’s report states that Salanson produced "abnormal" results when he underwent an
electrocardiagram and VO2 max tests at Nantes’ University Hospital in mid-May. Salanson went to
the centre to undergo routine tests after fracturing his shoulder blade.

The medical report said that his "electrocardiagram was irregular". Even more worryingly, his VO2
max had to be stopped when he reached 49kph because his heart rate had gone up to 196 beats a
minute. Despite these readings, Salanson subsequently rode the Tour of Asturias and A Travers Le
Morbihan before heading to Germany for the Deutschland Tour.

Brioches La Boulangère have said that the medical reports they received on Salanson did not
suggest that he could not compete.

Salanson’s family, meanwhile, have started to investigate the causes of the 23 year old’s death
and have hired legal counsel to help them determine the cause of death.

This is kind of interesting, because just a few weeks ago, I read a study done in Britain about
Sudden Adult Death. THe British heart institute studied a number of cases where this had occurred- a
young person dying suddenly, with no cause found in the autopsy. A significant amount of those
deaths are just like Salanson, men who die suddenly, with no signs of illness.

What they did was test all the first degree relatives (parents, siblings) and ask about family
history, and they found that about a quarter of the decedent's families had a parent or sibling with
some sort of heart condition, many were arrhythmias or heart conditions which could be treated with
pacemakers. OF course, that doesn't show up on an autopsy, so they say, "natural causes". In one
case, a 28 year old cyclist died cycling up a hill, and they found that his mother had died in her
40s, suddenly. And in another case, a 21 year old guy died while walking across a parking lot, and
his brother was found to have a heart condition and got a pacemaker.

That sounds a lot like salanson. I would imagine having an arrhythmia and say, sprinting or going up
the alps could cause a few problems. Didn't that italian cyclist who just died also have some sort
of heart condition? I am sure salanson had some sort of history like that in his family. They also
found that in about a quarter of the cases, another family member had died suddenly. Of course, with
athletes we all assume dope, especially cyclists, but I guess that's understandable.

In article said:

I would imagine having an arrhythmia and say, sprinting or going up the alps could cause a few
problems.

If the arrhythmia originates in the upper parts of the heart (atria) it will be an inconvenience but
rarely life-threatening. If the arrhythmia manifests in the lower parts of the heart (ventricles)
it's a big problem.

-WG

"Marlene Blanshay" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

In article <[email hidden]>, "B. Lafferty"

Quoted message said:

From ProCycling:

procycling.comnews main.aspOpen ↗ A report into the death of Brioches La
Boulangère's Fabrice Salanson has revealed that medical tests done on the 23-year-old Frenchman
just three weeks before his death had revealed serious abnormalities.

Initial suspicion that Salanson's death might have been related to

doping

Quoted message said:

Quoted message said:

were quashed when the autopsy revealed no evidence that the Frenchman

had

Quoted message said:

Quoted message said:

used doping substances. However, the French daily 'Le Parisien' has

released

Quoted message said:

Quoted message said:

details of tests carried out on Salanson in Nantes 22 days before the

heart

Quoted message said:

Quoted message said:

attack that caused his premature death in Dresden the day before the

start

Quoted message said:

Quoted message said:

of the Deutschland Tour.

Le Parisien's report states that Salanson produced "abnormal" results

when

Quoted message said:

Quoted message said:

he underwent an electrocardiagram and VO2 max tests at Nantes'

University

Quoted message said:

Quoted message said:

Hospital in mid-May. Salanson went to the centre to undergo routine

tests

Quoted message said:

Quoted message said:

after fracturing his shoulder blade.

The medical report said that his "electrocardiagram was irregular". Even more worryingly, his
VO2 max had to be stopped when he reached 49kph

because

Quoted message said:

Quoted message said:

his heart rate had gone up to 196 beats a minute. Despite these

readings,

Quoted message said:

Quoted message said:

Salanson subsequently rode the Tour of Asturias and A Travers Le

Morbihan

Quoted message said:

Quoted message said:

before heading to Germany for the Deutschland Tour.

Brioches La Boulangère have said that the medical reports they received

on

Quoted message said:

Quoted message said:

Salanson did not suggest that he could not compete.

Salanson's family, meanwhile, have started to investigate the causes of

the

Quoted message said:

Quoted message said:

23 year old's death and have hired legal counsel to help them determine

the

Quoted message said:

Quoted message said:

cause of death.

This is kind of interesting, because just a few weeks ago, I read a study done in Britain about
Sudden Adult Death. THe British heart institute studied a number of cases where this had occurred-
a young person dying suddenly, with no cause found in the autopsy. A significant amount of those
deaths are just like Salanson, men who die suddenly, with no signs of illness.

What they did was test all the first degree relatives (parents, siblings) and ask about family
history, and they found that about a quarter of the decedent's families had a parent or sibling
with some sort of heart condition, many were arrhythmias or heart conditions which could be
treated with pacemakers. OF course, that doesn't show up on an autopsy, so they say, "natural
causes". In one case, a 28 year old cyclist died cycling up a hill, and they found that his mother
had died in her 40s, suddenly. And in another case, a 21 year old guy died while walking across a
parking lot, and his brother was found to have a heart condition and got a pacemaker.

That sounds a lot like salanson. I would imagine having an arrhythmia and say, sprinting or going
up the alps could cause a few problems. Didn't that italian cyclist who just died also have some
sort of heart condition? I am sure salanson had some sort of history like that in his family. They
also found that in about a quarter of the cases, another family member had died suddenly. Of
course, with athletes we all assume dope, especially cyclists, but I guess that's understandable.

I'd be curious to know why his physician did not follow up on the abnormalities discovered some
weeks earlier. Hope he has a letter in his file to the patient to cover his posterior.

Marlene Blanshay said:

That sounds a lot like salanson. I would imagine having an arrhythmia and say, sprinting or going
up the alps could cause a few problems.

I have a mitral valve prolapse, which causes noticable arrhythmia. Cycling hard never bothered it,
the harder I rode the more even the heartbeat. So say me and all the medical tests. However, the
decrease in resting heart rate could cause a problem. I had a girlfriend once nearly freak out
because I was in great shape with a low RHR, and the prolapse caused a beat (or 2) to be skipped.
Since she was leaning against my chest she noticed when my heart had not beat for several seconds. I
was just falling asleep too, it would beat when it was ready. But maybe for some young cyclists with
arrhythmia it stops beating and decides to never beat again.

"B. Lafferty" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

"Marlene Blanshay" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

In article <[email hidden]>,

"B.

Quoted message said:

Quoted message said:

Lafferty said:

From ProCycling:

procycling.comnews main.aspOpen ↗ A report into the death of Brioches La
Boulangère's Fabrice

Salanson has

Quoted message said:

Quoted message said:

Quoted message said:

revealed that medical tests done on the 23-year-old Frenchman just

three

Quoted message said:

Quoted message said:

Quoted message said:

weeks before his death had revealed serious abnormalities.

Initial suspicion that Salanson's death might have been related to

doping

Quoted message said:

Quoted message said:

were quashed when the autopsy revealed no evidence that the

Frenchman

Quoted message said:

had

Quoted message said:

Quoted message said:

used doping substances. However, the French daily 'Le Parisien'

has

Quoted message said:

released

Quoted message said:

Quoted message said:

details of tests carried out on Salanson in Nantes 22 days before

the

Quoted message said:

heart

Quoted message said:

Quoted message said:

attack that caused his premature death in Dresden the day before

the

Quoted message said:

start

Quoted message said:

Quoted message said:

of the Deutschland Tour.

Le Parisien's report states that Salanson produced "abnormal"

results

Quoted message said:

when

Quoted message said:

Quoted message said:

he underwent an electrocardiagram and VO2 max tests at Nantes'

University

Quoted message said:

Quoted message said:

Hospital in mid-May. Salanson went to the centre to undergo

routine

Quoted message said:

tests

Quoted message said:

Quoted message said:

after fracturing his shoulder blade.

The medical report said that his "electrocardiagram was

irregular". Even

Quoted message said:

Quoted message said:

Quoted message said:

more worryingly, his VO2 max had to be stopped when he reached

49kph

Quoted message said:

because

Quoted message said:

Quoted message said:

his heart rate had gone up to 196 beats a minute. Despite these

readings,

Quoted message said:

Quoted message said:

Salanson subsequently rode the Tour of Asturias and A Travers Le

Morbihan

Quoted message said:

Quoted message said:

before heading to Germany for the Deutschland Tour.

Brioches La Boulangère have said that the medical reports they

received

Quoted message said:

on

Quoted message said:

Quoted message said:

Salanson did not suggest that he could not compete.

Salanson's family, meanwhile, have started to investigate the

causes of

Quoted message said:

the

Quoted message said:

Quoted message said:

23 year old's death and have hired legal counsel to help them

determine

Quoted message said:

the

Quoted message said:

Quoted message said:

cause of death.

This is kind of interesting, because just a few weeks ago, I read a

study

Quoted message said:

Quoted message said:

done in Britain about Sudden Adult Death. THe British heart

institute

Quoted message said:

Quoted message said:

studied a number of cases where this had occurred- a young person

dying

Quoted message said:

Quoted message said:

suddenly, with no cause found in the autopsy. A significant amount

of

Quoted message said:

Quoted message said:

those deaths are just like Salanson, men who die suddenly, with no

signs

Quoted message said:

Quoted message said:

of illness.

What they did was test all the first degree relatives (parents,

siblings)

Quoted message said:

Quoted message said:

and ask about family history, and they found that about a quarter of

the

Quoted message said:

Quoted message said:

decedent's families had a parent or sibling with some sort of heart condition, many were
arrhythmias or heart conditions which could be treated with pacemakers. OF course, that doesn't
show up on an

autopsy,

Quoted message said:

Quoted message said:

so they say, "natural causes". In one case, a 28 year old cyclist

died

Quoted message said:

Quoted message said:

cycling up a hill, and they found that his mother had died in her

40s,

Quoted message said:

Quoted message said:

suddenly. And in another case, a 21 year old guy died while walking

across

Quoted message said:

Quoted message said:

a parking lot, and his brother was found to have a heart condition

and got

Quoted message said:

Quoted message said:

a pacemaker.

That sounds a lot like salanson. I would imagine having an

arrhythmia and

Quoted message said:

Quoted message said:

say, sprinting or going up the alps could cause a few problems.

Didn't

Quoted message said:

Quoted message said:

that italian cyclist who just died also have some sort of heart

condition?

Quoted message said:

Quoted message said:

I am sure salanson had some sort of history like that in his family.

They

Quoted message said:

Quoted message said:

also found that in about a quarter of the cases, another family

member had

Quoted message said:

Quoted message said:

died suddenly. Of course, with athletes we all assume dope,

especially

Quoted message said:

Quoted message said:

cyclists, but I guess that's understandable.

I'd be curious to know why his physician did not follow up on the abnormalities discovered some
weeks earlier. Hope he has a letter in

his

Quoted message said:

file to the patient to cover his posterior.

Something "irregular" and something "life threatening" can be two different things. More details on
the electrocardiagram irregularity would be needed to question the decision to continue racing.
Stopping his VO2 max test at 49kph and 196 bpm was, I guess, significantly different from what was
normal for him. I'm curious to know some of these details.

Phil Holman

In article <[email hidden]>, "Kyle Legate"

Quoted message said:

Marlene Blanshay said:

That sounds a lot like salanson. I would imagine having an arrhythmia and say, sprinting or
going up the alps could cause a few problems.

I have a mitral valve prolapse, which causes noticable arrhythmia. Cycling hard never bothered it,
the harder I rode the more even the heartbeat. So say me and all the medical tests. However, the
decrease in resting heart rate could cause a problem. I had a girlfriend once nearly freak out
because I was in great shape with a low RHR, and the prolapse caused a beat (or 2) to be skipped.
Since she was leaning against my chest she noticed when my heart had not beat for several seconds.
I was just falling asleep too, it would beat when it was ready. But maybe for some young cyclists
with arrhythmia it stops beating and decides to never beat again.

Maybe, I think that's what they were getting at in the study. In fact, they aren't quite sure
exactly what causes the heart to stop in those cases- which is why they do all this research. In
some cases it's just a mystery. The types of arrythmias they mentioned were "long QT" and another
one which has something to do with the time between when valves are active or inactive, and
something called hypertrophy (has to do with the muscles).

"Marlene Blanshay" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Maybe, I think that's what they were getting at in the study. In fact, they aren't quite sure
exactly what causes the heart to stop in those cases- which is why they do all this research. In
some cases it's just a mystery. The types of arrythmias they mentioned were "long QT" and another
one which has something to do with the time between when valves are active or inactive, and
something called hypertrophy (has to do with the muscles).

Hypertrophy with regards to the heart means the heart muscle is enlarged, something that is common
in many athletes because of the demand that they put on the heart. Dave

(Marlene Blanshay) said:

That sounds a lot like salanson. I would imagine having an arrhythmia and say, sprinting or going
up the alps could cause a few problems. Didn't that italian cyclist who just died also have some
sort of heart condition?

Yes, Zanette had that kind of history, with both his father and his grandfather dying young because
of heart attacks. But Zanette was also 33 years old, an age that starts to be more typical for heart
attack deaths than the age of Salanson.

More from today's news:

cyclingnews.comnewsOpen ↗ Salanson's family wants answers The family
of Fabrice Salanson, who died of heart failure on the eve of the Tour of Germany, has taken legal
action to seize the rider's medical files in an effort to determine a possible case of negligence.
Saddened by the death of their son and angered by lingering suspicions of doping as a cause of
death, Salanson's parents have expressed their concern that 'abnormal' test results presented to the
Brioches La Boulangère team in May should have been more closely pursued.

"We're not trying to start a new debate," Hughes Salanson told the French press. "We're not blaming
any one person, and certainly not the directors of the Brioches La Boulangère team. They have
supported and helped us through difficult moments, but today they need to put themselves in our
place. We want to know what happened."

At issue is the revelation that during stress tests in April, Salanson's electrocardiogram showed an
interruption in his heartbeat. Team doctors insisted that nothing had prompted a determination that
Salanson was not fit to race professionally, but more questions are now being asked.

"We've asked for the opinions of three specialists," the Salanson family's lawyer Didier Domat
explained. "For them, the tests taken April 1st and sent to Fabrice Salanson May 12th required
further analysis."

According to Domat, other circumstances prompted concern with the Salanson family.

"They discovered that the management of La Boulangère appealed the decision of CPAM (the team's
medical insurance company) to label Salanson's death as a work accident in order to prevent the
team's insurance premiums from going up next season," Domat said in l'Equipe. "The family found this
attitude bizarre, if not inappropriate."

"Davide Tosi" <[email hidden]> wrote in message "]news:[email hidden]...

Quoted message said:

(Marlene Blanshay) said:

That sounds a lot like salanson. I would imagine having an arrhythmia and say, sprinting or going
up the alps could cause a few problems. Didn't that italian cyclist who just died also have some
sort of heart

condition?

Quoted message said:

Yes, Zanette had that kind of history, with both his father and his grandfather dying young
because of heart attacks. But Zanette was also 33 years old, an age that starts to be more typical
for heart attack deaths than the age of Salanson.

In article said:

(Marlene Blanshay) said:

That sounds a lot like salanson. I would imagine having an arrhythmia and say, sprinting or going
up the alps could cause a few problems. Didn't that italian cyclist who just died also have some
sort of heart condition?

Yes, Zanette had that kind of history, with both his father and his grandfather dying young
because of heart attacks. But Zanette was also 33 years old, an age that starts to be more typical
for heart attack deaths than the age of Salanson.

Not Zanette, it was another guy- just a few weeks ago. I can't remember his name, he was about 23.
He just up and died, and I think in his case they found some kind of heart condition. And Zanette I
remember had a history in his family, probably the anesthesia did it. Still 33 is really young!

I think that's the fear of anyone having surgery, that you won't wake up. I know a guy who had a
relative die during surgery, although I think he was much older than 33! However, the guy had double
hernia surgery in his 40s and insisted on being awake and given an epidural. He said you don't feel
anything, but you can feel them pulling and tugging- ewwww! A few years ago, I had abdominal surgery
and I was kind of scared about that same thing, not waking up. I think it's normal. But at my
preadmission clinic I asked if I could have a local and be awake, but the anesthesiologist said, you
probably wouldn't want to be awake for that, it's pretty bloody and they scoop out your insides
(Like giblets!). I was convinced. Mind you,at least with a local you don't feel like total [censored] when
you wake up.

As for salanson, they should check out any siblings he has, because they could also be at risk.