Sudden cardiac death among competitive adult athletes: a review.

Abstract:

:Sudden cardiac death is the leading cause of mortality among young athletes with an incidence of 1-2 per 100,000 athletes per annum. It is described as 'an event that is non-traumatic, non-violent, unexpected, and resulting from sudden cardiac arrest within six hours of previously witnessed normal health'. Most predisposed athletes have no symptoms and there is no warning for the impending tragic event. The majority of cases are caused by an underlying structural cardiac abnormality, most commonly hypertrophic cardiomyopathy. More recently, the understanding of non-structural causes such as long QT syndrome and Brugada syndrome has grown and diagnostic criteria have been developed. This review presents the known aetiologies of sudden cardiac death among athletes and outlines their identification and management including implications for future sporting participation as laid out in the consensus documents produced by the European Society of Cardiology and the 36th Bethesda Conference.

journal_name

Postgrad Med J

authors

Pugh A,Bourke JP,Kunadian V

doi

10.1136/postgradmedj-2011-130215

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

382-90

issue

1041

eissn

0032-5473

issn

1469-0756

pii

postgradmedj-2011-130215

journal_volume

88

pub_type

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