By Alex Taylor

David Moyes has admitted Patrick van Aanholt was ruled out of Tottenham’s clash with Sunderland on Sunday after concerns were raised about the defender’s heart.

The Dutchman was withdrawn from Moyes’ starting XI at White Hart Lane just 30 minutes before kick-off.

The left-back was replaced by Jason Denayer for the fixture and has since flown with his team to their EFL Cup match against Queens Park Rangers at Loftus Road.

“He had the statutory checks with the cardiologists,” Moyes said, as quoted by the BBC Sport website. “The Football Association panel advised us really late that he should not play until further tests had taken place.”

“I have never in my career been put in a situation like that. It was completely outside our control. We knew we had to make the correct decision for the player and for the football club.”

The Black Cats boss is yet to make a decision on whether Van Aanholt will be involved against QPR but the club are not believed to be overly concerned about the issue.

The full-back has played on five occasions this season, scoring one goal for his side against Middlesbrough in August.

Van Aanholt has played in 223 career matches scoring 17 goals and providing 25 assists.

He began his career at Chelsea and has enjoyed spells with Coventry, Newcastle, Leicester and Wigan before linking up with Moyes at Sunderland.

In other Tottenham news, Harry Kane is set to be sidelined for up to 10 weeks with ankle ligament damage – and Spurs fans on Twitter have seen it as an opportunity to unleash new striker signing Vincent Janssen.