Sudden death and sport
Authors:
V. Vančura; J. Bytešník
Authors place of work:
Klinika kardiologie, IKEM, Praha
Published in the journal:
Kardiol Rev Int Med 2007, 9(Mimořádné): 32-38
Category:
Editorial
Summary
Sudden death during sporting activity is a relatively rare, but not unique phenomenon. Cases of sudden death have been recorded in both top and recreational sporting activities. Usually, it is caused by a structural heart disease, less often by a genetically determined disorder of the ion channel responsible for some of the typical, mostly hereditary diseases. Examination methods used in athletes should therefore be focused on the likely symptoms of such diseases, and once the diagnosis is confirmed, adequate restriction in the sporting activity should be recommended. Commotio cordis has recently occurred among the causes of death in sports stadiums, which can be prevented by protection pads.
Keywords:
sport – death in sport – ventricular extrasystolia – ventricular tachycardia – ventricular flutter and ventricular fibrillation – QT syndrome – short QT syndrome – Brugada syndrome – catecholaminergic polymorphic ventricular tachycardia – AVRC – Marfan syndrome – myocarditis – hypertrophic cardiomyopathy – valvular defects – coronary artery disease
Zdroje
1. Thompson PD, Funk EJ, Carleton RA, Sturner WQ. Incidence of death during jogging in Rhode Island from 1975 through 1980. JAMA 1982; 247(18): 2535-2538.
2. Maron BJ, Gohman TE, Aeppli D. Prevalence of sudden cardiac death during competitive sports activities in Minnesota high school athletes. J Am Coll Cardiol 1998; 32(7): 1881-1884.
3. Van Camp SP, Bloor CM, Mueller FO et al. Nontraumatic sports death in high school and college athletes. Med Sci Sports Exerc 1995; 27(5): 641-647.
4. Corrado D, Basso C, Rizzoli G et al. Does sports activity enhance the risk of sudden death in adolescents and young adults? J Am Coll Cardiol 2003; 42(11): 1959-1963.
5. Maron BJ, Shirani J, Poliac LC et al. Sudden death in young competitive athletes. Clinical, demographic, and pathological profiles. JAMA 1996; 276(3): 199-204.
6. Maron BJ, Wentzel DC, Zenovich AG et al. Death in a young athlete due to commotio cordis despite prompt external defibrillation. Heart Rhythm 2005; 2(9): 991-993.
7. Maron BJ, Gohman TE, Kyle SB et al. Clinical profile and spectrum of commotio cordis. JAMA 2002; 287(9): 1142-1146.
8. Maron BJ, Doerer JJ, Haas TS et al. Historical observation on commotio cordis. Heart Rhythm 2006; 3(5): 605-606.
9. Link MS, Maron BJ, Wang PJ et al. Upper and lower limits of vulnerability to sudden arrhythmic death with chest-wall impact (commotio cordis). J Am Coll Cardiol 2003; 41(1): 99-104.
10. Madias C, Maron BJ, Weinstock J et al. Commotio cordis-sudden cardiac death with chest wall impact. J Cardiovasc Electrophysiol 2007; 18(1): 115-122.
11. Maron BJ, Estes NA, 3rd, Link MS. Task Force 11: commotio cordis. J Am Coll Cardiol 2005; 45(8): 1371-1373.
12. Tester DJ, Ackerman MJ. Postmortem long QT syndrome genetic testing for sudden unexplained death in the young. J Am Coll Cardiol 2007; 49(2): 240-246.
13. Tester DJ, Spoon DB, Valdivia HH et al. Targeted mutational analysis of the RyR2-encoded cardiac ryanodine receptor in sudden unexplained death: a molecular autopsy of 49 medical examiner/coroner's cases. Mayo Clin Proc 2004; 79(11): 1380-1384.
14. Quigley F. A survey of the causes of sudden death in sport in the Republic of Ireland. Br J Sport Med 2000; 34(4): 258-261.
15. Mittleman MA, Maclure M, Tofler GH et al. Triggering of acute myocardial infarction by heavy physical exertion. Protection against triggering by regular exertion. Determinants of Myocardial Infarction Onset Study Investigators. N Eng J Med 1993; 329(23): 1677-1683.
16. Strike PC, Perkins-Porras L, Whitehead DL et al. Triggering of acute coronary syndromes by physical exertion and anger: clinical and sociodemographic characteristics. Heart 2006; 92(8): 1035-1040.
17. Siscovick DS, Weiss NS, Fletcher RH, Lasky T. The incidence of primary cardiac arrest during vigorous exercise. N Eng J Med 1984; 311(14): 874-877.
18. Lee IM, Skerrett PJ. Physical activity and all-cause mortality: what is the dose-response relation? Med Sci Sport Exerc 2001; 33(6,Suppl): 459-471; discussion 493-454.
19. Thompson PD, Buchner D, Pina IL et al. Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity). Circulation 2003; 107(24): 3109-3116.
20. Pelliccia A, Fagard R, Bjornstad HH et al. Recommendations for competitive sports participation in athletes with cardiovascular disease: a consensus document from the Study Group of Sports Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J 2005; 26(14): 1422-1445.
21. Heidbuchel H, Panhuyzen-Goedkoop N, Corrado D et al. Recommendations for participation in leisure-time physical activity and competitive sports in patients with arrhythmias and potentially arrhythmogenic conditions Part I: Supraventricular arrhythmias and pacemakers. Eur J Cardiovasc Prev Rehabil 2006; 13(4): 475-484.
22. Heidbuchel H, Corrado D, Biffi A et al. Recommendations for participation in leisure-time physical activity and competitive sports of patients with arrhythmias and potentially arrhythmogenic conditions. Part II: ventricular arrhythmias, channelopathies and implantable defibrillators. Eur J Cardiovasc Prev Rehabil 2006; 13(5): 676-686.
23. Maron BJ, Chaitman BR, Ackerman MJ et al. Recommendations for physical activity and recreational sports participation for young patients with genetic cardiovascular diseases. Circulation 2004; 109(22): 2807-2816.
24. Maron BJ, Thompson PD, Ackerman MJ et al. 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. Circulation 2007; 115(12): 1643-1455.
25. Mitchell JH, Haskell W, Snell P, Van Camp SP. Task Force 8: classification of sports. J Am Coll Cardiol 2005; 45(8): 1364-1367.
26. Zipes DP, Ackerman MJ, Estes NA, 3rd, Grant AO, Myerburg RJ, Van Hare G: Task Force 7: arrhythmias. J Am Coll Cardiol 2005; 45(8): 1354-1363.
27. Maron BJ, Ackerman MJ, Nishimura RA et al. Task Force 4: HCM and other cardiomyopathies, mitral valve prolapse, myocarditis, and Marfan syndrome. J Am Coll Cardiol 2005; 45(8): 1340-1345.
28. Roberts WO, Maron BJ. Evidence for decreasing occurrence of sudden cardiac death associated with the marathon. J Am Coll Cardiol 2005; 46(7): 1373-1374.
Štítky
Paediatric cardiology Internal medicine Cardiac surgery CardiologyČlánok vyšiel v časopise
Cardiology Review
2007 Číslo Mimořádné
Najčítanejšie v tomto čísle
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- Bradycardia in athletes
- Physiology of physical strain
- Doing sport with an implantable pacemaker or cardioverter/defibrillator