Naslov
What can we do to prevent athlete's sudden death?

Autori
Kolar, Luka ; Stupin, Marko ; Stupin, Ana ; Drenjančević, Ines

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
23rd International Student Congress on Sport Sciences (ISCSS) - Abstract Book / Koller, Akos - Budimpešta, 2018, 33-34

Skup
23rd International Student Congress on Sport Sciences (ISCSS)

Mjesto i datum
Budimpešta, Mađarska, 27.04.2018

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
athletes, sudden death, ECG, hypertrophic cardiomyopathy

Sažetak
Little is known about the risk of sudden death related to exercise in young athletes, and whether there are more benefits than damage from exercise. By recent studies, there is 2.5 fold increased risk of sudden death in competitive athletes than sedentary peers. There is also proved that most common causes of sudden death are silent cardiovascular diseases. A broad spectrum of cardiovascular diseases can cause sudden death, including congenitaland inherited disorders. Hypertrophic cardiomyopathy is implicated as the prime cause of sport-related cardiac arrest (more than one- third), and other common causes include congenital coronary artery anomaly. Myocarditis, aortic rupture, mitral valve prolapse, arrhytmogenic RV cardiomyopathy, conduction system abnormities are less common. Most of these conditions (up to 60% of sudden deaths) can be diagnosed or suspected with ECG. In addition to ECG, athlete’s history and detailed physical examination is necessary to do. Complete personal and family history is important because of genetically determinated diseases, and it is considered positive when close relative (aged <55 for male and <65 for female) had experienced a premature heart attack or sudden death, or had diagnosed other heart disease. Physical examination can be used to find heart murmurs, irregular heart rhythm and elevated arterial pressure. Twelve- lead ECG can suggest myocardial ischemia, cardiomyopathy and rhythm and conduction abnormalities. Subjects who have positive findings should be referred for additional testing, first noninvasive such as echocardiography, 24-h ambulatory Holter monitoring and exercise testing. If it is necessary, invasive testing is recommended (ventriculography, coronary angiography, endomyocardial biopsy and electrophysiological study). Finally, subjects recognized to be affected by cardiovascular conditions potentially responsible for sudden death in association with exercise and sport participation should be disqualified form competitive athletic activity. Incidence of sudden death among athletes is 2.3 per 100 000 athletes with significant male predominance (male to female ratio 10:1), which prompted European Society of Cardiology to make consensus statement for pre- participation screening of young competitive athletes for prevention of sudden death. According to this statement, beside personal and family history and physical examinations, ECG found an important place in diagnosing cardiovascular diseases related to sudden death. Apart from being widely available and inexpensive, it serves as a criterion for further examinations or even disengagement from sports.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti

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