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Luton boss Joe Kinnear
"I don't think we'll see Gerard Houllier back this season"
 real 14k

Stress therapist Richard O'Neill
"The pressure builds up and the fans and the media don't help"
 real 14k

Sunday, 14 October, 2001, 13:57 GMT 14:57 UK
Trouble at the top
Gerard Houllier (left) and Graeme Souness have suffered heart problems
BBC Sport Online looks at the managers whose health has suffered because of the pressures of the job.

Liverpool fans must be experiencing a horrible sense of d�j� vu, after yet another of their managers was struck by health problems.

Gerard Houllier underwent open-heart surgery on Saturday night after suffering chest pains during the Reds' 1-1 draw with Premiership leaders Leeds.

Football management is a highly-stressful occupation and has taken its toll on managers throughout the game over the years.

However, the Liverpool job appears to have a greater effect than any other.


The biggest problem was the pressure I was putting myself under
Ex-Liverpool manager
Kenny Dalglish
Houllier is the third Liverpool boss to be struck down by illness in the last decade, after Kenny Dalglish and Graeme Souness.

Like Houllier, Souness also suffered heart problems.

He had a triple heart by-pass operation 24 hours after Liverpool drew with Portsmouth in an FA Cup semi-final in 1992.

Souness recovered in time to witness Liverpool winning the FA Cup, but he was only allowed to watch the match as a spectator.

He said: "Because of my love for the game I have been too excited on the odd occasion - but I now understand the situation.

"It's not a case of wanting to be different. It's a case of having to be different.

"Maybe I have been guilty of taking football too seriously."

Souness had a triple heart by-pass in 1992
Souness had a triple heart by-pass in 1992
In February 1991, Dalglish announced his shock resignation as Liverpool manager after a roller-coaster 4-4 cup tie with Merseyside rivals Everton at Goodison Park.

The stress of the job caused him to have a painful attack of shingles before the tie.

Dalglish led Liverpool to the double during his first season in charge and added two more League titles and another FA Cup to the Anfield trophy cabinet during the following four campaigns.

When the Scot stood down as manager Liverpool were three points clear at the top of the table.

He said: "The biggest problem was the pressure I was putting myself under in my desire to be successful.

"I felt it would be wrong to mislead everybody into thinking that everything was fine with myself."

Stein died during a World Cup qualifier
Stein died during a World Cup qualifier
But it is not only Liverpool managers who have suffered from health problems brought on by the stress of the job.

Ebullient Peterborough boss Barry Fry has had three heart attacks during his time as a manager.

The first of them came when the manager was helping to push the Barnet team bus after it had broken down.

Meanwhile, in 1996 Steve Coppell left after just 33 days in charge of Manchester City because of ill health.

Three years later Joe Kinnear was rushed to hospital after he had a mild heart attack before his Wimbledon side played Sheffield Wednesday.

He stood down as manager three months later due to continuing ill health.

But the most tragic example is that of Jock Stein.

The legendary Scot suffered a fatal heart attack during Scotland's World Cup qualifier against Wales on 10 September 1985.

See also:

13 Oct 01 |  Liverpool
Gerard Houllier profile
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