Sunderland boss David Moyes has confirmed that defender Patrick van Aanholt was withdrawn from the team to face Tottenham on Sunday because of the results of tests on his heart.
The Dutchman's withdrawal from the starting XI at White Hart Lane on Sunday barely 30 minutes before kick-off sparked a series of conspiracy theories, but Moyes revealed on Tuesday morning that he had been advised not to play the full-back by cardiologists.
Moyes said: "He had the statutory checks with the cardiologists and the FA panel of cardiologists looked at it and advised us really late on Sunday that he should not play until further tests had taken place."
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David Moyes has called for managers to be given time to implement their plans as he plots the way forward at Sunderland.
Moyes welcomes former club Everton to the Stadium of Light in Monday night's Premier League fixture and the 53-year-old Scot spent 11 years at Goodison Park, where he established the Toffees in the top half of the table and took them into Europe despite working to relatively modest budgets.
Since leaving Everton, Moyes lasted less than a year as Manchester United manager before a 364-day spell in Spain as Real Sociedad boss.
And as he embarks upon his latest mission on Wearside, he insists it is no coincidence that managers who get the time to bring their plans to fruition enjoy the most success.
Moyes said: "You know, if you look at the clubs which really had good success, Brian Clough was at Nottingham Forest, I think, for 18 years; Sir Bobby Robson was at Ipswich Town for, I think, 13 years; Sir Alex Ferguson, you look at Arsene Wenger and then myself.
"If you look at the length of period that managers were there, you would say the clubs which have kept their manager for a long period have tended to get a level of success.
"They could be different eras, but because of media, because of a different type of pressure which comes under the owners or different owners I could say as well, it's not been quite so good.
"I was really fortune that I worked under two great people in Sir Philip Carter and Bill Kenwright (at Everton). There were mistakes along the way, of course there were, and there were disappointments along the way, but they always saw the bigger picture and always had an idea where we were going."
Sunderland have signed midfielder Didier Ndong from French side Lorient for a fee of £13.5million.
The Gabon international, 22, has signed a five-year deal at The Stadium of Light.
It will be an honour to wear the Sunderland shirt and I will wear it with a true understanding of what it means.
I am excited to meet everyone at the club, to see the stadium and of course the fans...today is the most beautiful day of my life.”
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Sunderland have completed the signing of Atletico Madrid defender Javier Manquillo on a season-long loan.
Spanish full-back Manquillo has previously enjoyed loan spells at Liverpool and Marseille.
The Premier League club have the option to sign Manquillo on a permanent deal at the end of the loan.
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