Sudden Cardiac Death in Young Athletes

作者: Navin Chandra , Rachel Bastiaenen , Michael Papadakis , Sanjay Sharma

DOI: 10.1016/J.JACC.2012.08.1032

关键词:

摘要: Sudden cardiac death (SCD) in an athlete is a rare yet highly visible tragedy that generates significant media attention and discussion among medical personnel, sports communities, laypersons alike. The incidence of SCD greater athletes compared with their nonathletic counterparts due to the increased risk associated strenuous exercise context quiescent abnormality. Numerous structural, electrical, acquired cardiovascular abnormalities are capable causing SCD, many which can be identified during life managed by lifestyle modifications, pharmacotherapy, device therapy. Strategies for prevention including pre-participation screening, endorsed governing bodies, but mandatory screening remains rare. Evaluation poses diagnostic difficulties, particularly differentiating between physiological adaptation exercise, known as athlete's heart, cardiomyopathic processes SCD. This paper provides detailed review regarding etiology young insight into challenges dilemmas faced when evaluating underlying pathological conditions.

参考文章(77)
Fernando M. Di Paolo, Christian Schmied, Yacine A. Zerguini, Astrid Junge, Filippo Quattrini, Franco Culasso, Jiri Dvorak, Antonio Pelliccia, The Athlete's Heart in Adolescent Africans Journal of the American College of Cardiology. ,vol. 59, pp. 1029- 1036 ,(2012) , 10.1016/J.JACC.2011.12.008
Sandeep Basavarajaiah, Araceli Boraita, Gregory Whyte, Mathew Wilson, Lorna Carby, Ajay Shah, Sanjay Sharma, Ethnic Differences in Left Ventricular Remodeling in Highly-Trained Athletes : Relevance to Differentiating Physiologic Left Ventricular Hypertrophy From Hypertrophic Cardiomyopathy Journal of the American College of Cardiology. ,vol. 51, pp. 2256- 2262 ,(2008) , 10.1016/J.JACC.2007.12.061
Sanjay Sharma, Physiological Society Symposium - the Athlete's Heart Experimental Physiology. ,vol. 88, pp. 665- 669 ,(2003) , 10.1113/EPH8802624
K. Gear, R. Hauer, A. Nava, M. H. Picard, N. Protonotarios, J. E. Saffitz, D. M. Y. Sanborn, J. S. Steinberg, H. Tandri, G. Thiene, J. A. Towbin, A. Tsatsopoulou, T. Wichter, W. Zareba, F. I. Marcus, W. J. McKenna, D. Sherrill, C. Basso, B. Bauce, D. A. Bluemke, H. Calkins, D. Corrado, M. G.P.J. Cox, J. P. Daubert, G. Fontaine, Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia European Heart Journal. ,vol. 31, pp. 806- 814 ,(2010) , 10.1093/EURHEARTJ/EHQ025
Barry J Maron, Thomas E Gohman, Susan B Kyle, NA Mark Estes III, Mark S Link, None, Clinical Profile and Spectrum of Commotio Cordis JAMA. ,vol. 287, pp. 1142- 1146 ,(2002) , 10.1001/JAMA.287.9.1142
P J Schwartz, A J Moss, G M Vincent, R S Crampton, Diagnostic criteria for the long QT syndrome. An update. Circulation. ,vol. 88, pp. 782- 784 ,(1993) , 10.1161/01.CIR.88.2.782
Domenico Corrado, Cristina Basso, Gaetano Thiene, William J McKenna, Michael J Davies, Fabrice Fontaliran, Andrea Nava, Furio Silvestri, Carina Blomstrom-Lundqvist, Elzbieta K Wlodarska, Guy Fontaine, Fulvio Camerini, Spectrum of Clinicopathologic Manifestations of Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia: A Multicenter Study Journal of the American College of Cardiology. ,vol. 30, pp. 1512- 1520 ,(1997) , 10.1016/S0735-1097(97)00332-X
Mary McNaughton-Collins, Floyd J. Fowler, Jean-Francois Caubet, David W. Bates, Jeong Min Lee, Alison Hauser, Michael J. Barry, Psychological effects of a suspicious prostate cancer screening test followed by a benign biopsy result. The American Journal of Medicine. ,vol. 117, pp. 719- 725 ,(2004) , 10.1016/J.AMJMED.2004.06.036
Ritesh Dhar, C. William Stout, Mark S. Link, Munther K. Homoud, Jonathan Weinstock, N. A. Mark Estes, Cardiovascular Toxicities of Performance-Enhancing Substances in Sports Mayo Clinic Proceedings. ,vol. 80, pp. 1307- 1315 ,(2005) , 10.4065/80.10.1307