Prevalence of sudden cardiac death during competitive sports activities in Minnesota high school athletes.

摘要: Abstract Objectives. Reliable prevalence data would be useful in assessing the impact of sudden cardiac death young competitive athletes on community and designing effective preparticipation screening strategies. Background. The frequency with which these catastrophes occur is largely unknown. Methods. We utilized a circumstance unique to Minnesota precise number participants deaths due cardiovascular disease could ascertained over substantial period time based long-standing insurance program for catastrophic injury or death, mandatory all student engaged interscholastic sports. Results. Over 12-year period, 1985/1986 1996/1997, inclusive, three occurred high school (grades 10–12) during competition practice. At autopsy, 1 each proved anomalous origin left main coronary artery from right sinus Valsalva, congenital aortic valve stenosis (with bicuspid valve) myocarditis. All were white male, 16 17 years age; two competed cross-country/track one basketball. During study there 1,453,280 overall sports participations 651,695 athlete among 27 calculated risk was 1:500,000 1:217,400 per academic year (or 0.46/100,000, annually). 3-year career estimated 1:72,500. Conclusions. population small, range 200,000 year, higher male athletes. rare occurrence underlines limitations implicit structuring productive cost-effective broad-based strategies