Jon Niese’s rapid heart beat problems return

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Jon Niese was dominating the Cardinals when he left last night’s game.  But the reason he left was not because he had no more worlds left to conquer, but because of the return of a problem he faced last year: a rapid heartbeat or, as the doctors call it,  tachycardia.

This happened to him late last June in Texas. Afterwards he said it happened before that as well.  He went through a battery of tests at at the time, including an electrocardiogram, echocardiogram and a treadmill stress test, all of which came back normal. He didn’t miss a start after it occurred in 2011.

Presumably he’ll be examined again. And hopefully this is just something that happens to him and doesn’t portend any greater health problems and no missed time.

Chad Kuhl underwent elbow surgery

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Per Todd Tomczyk, the Pirates’ director of sports medicine, starter Chad Kuhl underwent right elbow surgery on Wednesday, MLB.com’s Adam Berry reports. The Pirates should provide more details about the nature of the surgery and Kuhl’s timetable soon.

Kuhl, 26, has been out of action since late June with a strained right forearm. He had been on a throwing program but experienced a setback earlier this month.

This season, Kuhl made 16 starts, putting up a 4.55 ERA with 81 strikeouts and 33 walks across 85 innings.