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[Benefit of cardiac examination in competitive sports]
1Rehaklinik Rosenquelle, Kardiologie und Pneumologie, Aachen. erik.skobel@rosenquelle.de
Insights
Sudden cardiac death in athletes under 35 is often due to structural or electrical heart conditions. In athletes over 35, coronary artery disease is the primary cause of cardiac death.
Area of Science:
- Cardiology
- Sports Medicine
- Pathology
Context:
- Sudden and unexpected death in young athletes is a tragic event.
- Cardiac disorders are significant causes of sudden death in athletes.
- Age is a critical factor in determining the cause of sudden cardiac death in athletes.
Purpose:
- To provide an overview of the current evaluation of competitive athletes.
- To discuss the prevention of sudden cardiac death in athletes.
- To highlight the distinct causes of sudden cardiac death in different age groups of athletes.
Summary:
- In athletes under 35, causes include hypertrophic cardiomyopathy, inflammatory disorders, coronary anomalies, and primary electrical diseases (Brugada syndrome, long QT, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia).
- In athletes over 35, coronary artery disease is the most frequent cause of cardiac death.
- This review covers athlete evaluation and strategies for preventing sudden cardiac death.
Impact:
- Enhances understanding of age-related cardiac risks in athletes.
- Informs clinical practice regarding athlete screening and risk stratification.
- Aims to reduce the incidence of sudden cardiac death in competitive sports.
Abstract:
The sudden and unexpected death in young athletes is always a tragic event. At the age < 35 years distinct structural cardiac disorders such as hypertrophic cardiomyopathy, inflammatory disorders, coronary artery anomalies, as well as conditions without structural cardiac abnormalities such as primary electrical diseases (Brugada's syndrome, long QT, short QT syndrome and catcholaminergic polymorphic ventricular tachycardia) are important causes of sudden death. At the age > 35 years coronary artery disease is the most common cause of cardiac death in athletes. In this review we give an overview about actual evaluation of competitive athletes and prevention of sudden cardiac death.
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