Imaging spectrum of sudden athlete cardiac death.

Abstract:

:Sudden athlete death (SAD) is a widely publicized and increasingly reported phenomenon. For many, the athlete population epitomize human physical endeavour and achievement and their unexpected death comes with a significant emotional impact on the public. Sudden deaths within this group are often without prior warning. Preceding symptoms of exertional syncope and chest pain do, however, occur and warrant investigation. Similarly, a positive family history of sudden death in a young person or a known family history of a condition associated with SAD necessitates further tests. Screening programmes aimed at detecting those at risk individuals also exist with the aim of reducing fatalities. In this paper we review the topic of SAD and discuss the epidemiology, aetiology, and clinical presentations. We then proceed to discuss each underlying cause, in turn discussing the pathophysiology of each condition. This is followed by a discussion of useful imaging methods with an emphasis on cardiac magnetic resonance and cardiac computed tomography and how these address the various issues raised by the pathophysiology of each entity. We conclude by proposing imaging algorithms for the investigation of patients considered at risk for these conditions and discuss the various issues raised in screening.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Arrigan MT,Killeen RP,Dodd JD,Torreggiani WC

doi

10.1016/j.crad.2010.10.011

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

203-23

issue

3

eissn

0009-9260

issn

1365-229X

pii

S0009-9260(10)00398-3

journal_volume

66

pub_type

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