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[Myocardial infarction while windsurfing (author's transl)].

P Schmid, W Weybora, W Langsteger

MMW, Munchener Medizinische Wochenschrift

|September 18, 1981

Summary

Sudden cardiac death in a windsurfer was linked to undiagnosed Wolff-Parkinson-White syndrome. This condition can cause dangerous arrhythmias, leading to collapse and, in rare cases, myocardial infarction.

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Area of Science:

Cardiology
Sports Medicine
Pathology

Background:

Undiagnosed Wolff-Parkinson-White syndrome can predispose individuals to paroxysmal tachycardias and sudden collapse.
The risks associated with pre-existing cardiac conditions during strenuous physical activity are significant.

Observation:

A 40-year-old windsurfer collapsed and subsequently died.
ECG revealed a posterior wall infarction; autopsy confirmed both fresh and older infarctions.
Coronary arteries were unremarkable, suggesting non-atherosclerotic causes for infarction.

Findings:

Indirect history suggested Wolff-Parkinson-White syndrome with a history of paroxysmal tachycardias and collapses.
The patient experienced a fatal posterior wall myocardial infarction despite unremarkable coronary arteries.

Implications:

This case highlights the critical importance of identifying Wolff-Parkinson-White syndrome in athletes presenting with collapse.
It underscores the potential for cardiac events, including infarction, in individuals with undiagnosed accessory pathway syndromes during physical exertion.
Further investigation into the link between intense sports like windsurfing and reinfarction in susceptible individuals is warranted.

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