JURGEN KLOPP is set to be ignored as Premier League clubs embrace plans to extend the Champions League.As SunSport reported earlier this month, support is growing among Europe’s elite clubs for a revised format involving more games from 2024.2 Jurgen Klopp led Liverpool to Champions League final glory against Spurs on June 1 but is a fierce critic of expanding the competition2 The Premier League’s biggest clubs were determined to resist the plans of Juventus president Andrea AgnelliCredit: Getty Images – GettyLiverpool boss Klopp slammed the plans after his side’s 2-0 win over Watford in the Premier League on Saturday.The straight-talking German, who tasted Champions League glory last season, branded the proposals “absolute b******s”.But as SunSport has previously revealed, Liverpool — along with other members of the Big Six — have been part of extensive negotiations led by Uefa and the European Club Association.And this should lead to clubs agreeing to a redesigned competition.The Prem six were determined not to accept initial plans, drafted by Juventus President Andrea Agnelli.This would have seen 12 games in the initial phase and a ring-fenced structure involving promotion and relegation for the initial elite.CONSENSUS REACHEDBut clubs from across Europe were equally adamant Agnelli’s vision would not fly. Now, though, consensus has been reached over the format meaning ten games in the first phase.There are two models currently being discussed.The first is the so-called “Swiss system”, based on a competition first designed for a chess tournament in Zurich in 1895.That would see 32 teams in one league, but in a series of seeded bands and playing just ten opponents from different seeding groups.The top eight teams in the table after ten games would automatically go to the knockout stage, with the sides ranked 9-24 playing off to join them.ACCA WITH LADBROKES Pick up a whole load of acca features to help you land the big oneIt is envisaged that the top eight would also automatically qualify for the next season’s competition.Although there might be a cap of three guaranteed spots per country to still allow clubs to qualify through their domestic league.The other option under consideration is an extension to 36 teams in the group phase — allowing more nations to take part — with the teams split into six groups of six.The top two in each group would go through, with either a play-off system or the best third place teams determining the final four slots.Whatever the precise shape of the plans, it will require eight European games before Christmas and minimum 17 games to win the competition — four more than now.most read in footballTHROUGH ITRobbie Keane reveals Claudine’s father was ’50-50′ in coronavirus battleTOP SELLERGavin Whelan has gone from League of Ireland to David Beckham’s InstagramPicturedAN EYEFULMeet Playboy model and football agent Anamaria Prodan bidding to buy her own clubExclusiveRIYAD RAIDMan City’s Riyad Mahrez has three luxury watches stolen in £500,000 raidI SAW ROORodallega saw Rooney ‘drinking like madman’ & Gerrard ‘on bar dancing shirtless’NEXT STEPJonny Hayes set to move to English Championship having been let go by CelticThat creates a genuine threat to the long-term future of the League Cup as England will be the only one of the Big Five nations with a second domestic cup from next season.It could also spell the end of FA Cup replays — already scrapped after the fourth-round stage — to free up more space in the fixtures calendar.Discussions will be ramped up in the New Year with an expectation that a final proposal can be voted on at the annual congress of Uefa’s member nations in Amsterdam in early March.Liverpool boss Jurgen Klopp is happy to stay at the club as he signs new five-year contract
“There’s a great need for a noninvasive and safe way to identify people who don’t have signs but have risk” of heart disease, he said. But there are potential downsides to more people doing this testing without extensive training. Suddenly, small-town family doctors could see scary-looking artery buildups and rush to treat some that might never be life-threatening. And while patients who see the pictures may be motivated to quit smoking, lose weight or go on cholesterol drugs, some might suffer side effects from unnecessary treatment. Ultrasounds also are being advertised directly to consumers – the latest “peace of mind” test like whole-body CT scans and MRIs. Some drugmakers are promoting wider testing because it could boost cholesterol pill sales. The American Heart Association says testing with traditional ultrasound machines can help certain patients, but does not endorse widespread screening with the small devices because proof of benefit is lacking. Guidelines from several groups suggesting who should use the small ultrasound devices, and on which patients, are expected next spring, said Stein, who heads a panel writing the advice. On balance, many doctors see more promise than peril. “It’s equivalent to a mammogram of the heart,” said Dr. Christopher Rembold, a cardiologist at the University of Virginia. If doctors see something suspicious, they can refer patients to specialists for more extensive tests before deciding whether or how to treat it, he said. Screening involves checking for buildups called plaque and measuring the thickness of the wall of the main neck artery. Normal thickness varies by age, race and sex, and charts give doctors detailed guidance. Too-thick arteries are a sign of higher risk for heart attack. Until recently, only ultrasound specialists did these tests, which were analyzed by a radiologist. That often meant patients needed another appointment at a hospital or ultrasound center, and a return trip to their primary doctor for results. The portable ultrasound devices are changing that. SonoSite Inc. of Bothell, Wash., came out with one in 1999. It was followed by GE Healthcare, a suburban Milwaukee unit of General Electric. They mostly are used in emergency rooms to check for problems with the heart’s valves or pumping capacity, or bulging abdominal arteries threatening to rupture. But scanning neck arteries became more common after SonoSite’s MicroMaxx came out in 2005. The 8-pound device is a small laptop and costs $25,000, or about $40,000 with related software. The pocket-size device that went on sale last week – the $10,000 Acuson P10 – might eventually expand artery scanning even more. Siemens Medical Solutions, the Malvern, Pa.-based unit of the German company Siemens AG, initially will sell the device for traditional heart imaging and emergency use, but plans to offer artery imaging in the near future. The quality of the images will have to be proved for the device to gain wide acceptance, several experts said. At UW-Madison, doctors have done neck scans with portable ultrasounds on about 900 patients. They charge $295, and three local HMOs agreed to pay. Most insurers do not, because of limited proof of the value of such tests. Others are selling neck scanning directly to consumers. Dr. Robert Bonow, cardiology chief at Northwestern University and a past heart association president, recently got an ad in the mail for screening at a shopping center near his Glencoe, Ill., home. He worries about the accuracy of such testing. Suppose the scanning is 90 percent accurate, and the normal rate of heart disease is 10 percent, he said. That would mean 20 out of 200 people would have heart disease and 180 would not. But the scan would tell 18 people they had it when they didn’t, and would miss heart disease in 18 who did. Because of the false alarms, “you may be treating twice as many people as you have to,” he said. “If you’re dealing with 2 million people, that’s a lot of people who don’t need treatment.” Robert Rosner, an ultrasound technician in Fort Myers, Fla., sells screening to police, fire and other municipal workers and through doctor offices and health clubs. He charges $180 and offers a personal testimonial. At age 42, he scanned his own arteries and was surprised to see a 30 percent narrowing in one. A doctor put him on medications, and a couple of years later, the plaque was gone. “Without needles or radiation or pain … there’s disease in the body that can be reversed,” he said. “I’m living proof.” UW’s Stein is leading a study to see whether family practice doctors can be trained in a weekend to accurately do the tests. SonoSite donated equipment, and a university-administered grant is paying for the study, which will test 350 patients. “The danger of overtreating is low, especially in an environment where we dangerously undertreat risk factors,” Stein said. Screening itself can be good, he pointed out. A previous study found that even those whose arteries were found to be normal were motivated to exercise more.160Want local news?Sign up for the Localist and stay informed Something went wrong. Please try again.subscribeCongratulations! You’re all set! MADISON, Wis. – What if your doctor could swipe a wand over your neck and reveal whether you have hidden heart disease? That is now possible in places other than the sick bay of the starship Enterprise. Miniature ultrasound machines are starting to make their way into ordinary doctors’ offices, where they may someday be as common as stethoscopes and EKGs. A pocket-sized one weighing less than 2 pounds hit the market last week. Some of these devices can make images of neck arteries, which offer a “window” to heart arteries that cannot easily be seen. If the neck vessels are clogged, doctors know that those around the heart probably are, too, and that treatment or more testing is needed. AD Quality Auto 360p 720p 1080p Top articles1/5READ MOREChargers go winless in AFC West with season-ending loss in Kansas CityThe new ultrasound machines offer a relatively cheap, painless way to screen people with no symptoms of heart problems for signs of hidden trouble. Is that a good thing? Many doctors say yes, because for one-third of heart disease sufferers, the first symptom is dropping dead of a heart attack. Finding these people early and treating them could save lives. The test may be especially good for women, who often have few traditional signs. Lisa Rosenstock of Madison, Wis., is an example. At age 41, this trim, athletic mom had normal cholesterol and blood pressure but a troubling family history of heart attacks. Ultrasound revealed a big clog in the main artery from her heart to her head. Her cardiologist, Dr. James Stein of the University of Wisconsin-Madison, put her on medicines to lower her risk of a heart attack or stroke. He also is leading a study aimed at making ultrasound testing more common.