Sudden Death In Competitive Sports

From Anvita Health Wiki

Contents 1 Etiology 2 Epidemiology 3 Management 4 More General Terms 5 Additional Terms 6 References

Etiology

• unrecognized hypertrophic cardiomyopathy
• congenital coronary artery anomalies

• anomalous coronary arteries [3]

• subclinical viral myocarditis
• Marfan's syndrome
• right ventricular dysplasia
• blunt chest trauma
• premature coronary artery disease (rare)
• non cardiac causes (14%) [3]
• idiopathic (35%) [3]
• vigorous exercise heightens risk of cardiac arrest [2]

• activation of the sympathetic nervous system
• promotion of plaque rupture

Epidemiology

• 7/1,000,000 for men
• 1/1,000,000 for women
• twice as high in college men as in high school men

Management

• screening may save lives [4], or may not [5]

More General Terms

• cardiac arrest (sudden death)

Additional Terms

• athletics

References

1. Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998
2. Journal Watch 20(24):192, 2000 Albert et al, N Engl J Med 343:1355, 2000
3. Journal Watch 25(3):23, 2005 Eckart RE, Scoville SL, Campbell CL, Shry EA, Stajduhar KC, Potter RN, Pearse LA, Virmani R. Sudden death in young adults: a 25-year review of autopsies in military recruits. Ann Intern Med. 2004 Dec 7;141(11):829-34. Summary for patients in: Ann Intern Med. 2004 Dec 7;141(11):I26. PMID: [1]
4. Corrado D et al, Trends in sudden cardiovascular death in young competitive atheletes after implementation of a preparticipation screening program. JAMA 2006, 296:1593 [2]
   - Thompson PD & Levine BD Protecting atheletes from sudden cardiac death JAMA 2006, 296:1648
5. Steinvil A et al. Mandatory electrocardiographic screening of athletes to reduce their risk for sudden death: Proven fact or wishful thinking? J Am Coll Cardiol 2011 Mar 15; 57:1291. PMID: [3]
6. National Guideline Clearinghouse
   - Inter-Association Task Force recommendations on emergency preparedness and management of sudden cardiac arrest in high school and college athletic programs: a consensus statement. National Athletic Trainers' Association ngc-guideline: [4]
   - Recommendations and considerations related to preparticipation screening for cardiovascular abnormalities in competitive athletes: 2007 update. A scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation. ngc-guideline: [5]

sudden death in competitive sports