Sudden Cardiac Arrest during Participation in Competitive Sports - systematic review
DOI:
https://doi.org/10.12775/QS.2024.18.53824Keywords
Sudden cardiac death, athlete's heart, Athletes, arrhythmia, weight trainingAbstract
Introduction: Sudden cardiac arrest during sporting events always arouses strong emotions.No one expects that sudden cardiac arrest could occur in a young, athletic person.There are about 90 cases of sudden cardiac arrest in Poland every day. It may seem that mainly elderly, sick people are at risk of sudden cardiac arrest. Theoretically, this problem should not concern young, athletic people who take part in sports competitions. Numerous screening tests and check-ups should eliminate the risk of sudden cardiac arrest in athletes, but the reality is different. The aim of the following paper is to review the literature on cardiac arrests in athletes during sporting events
Material and methods: We have gathered the available materials and scientific reports, analyzing and summarizing them in a single study.
Aim of study: Study objective: The aim of our study was to summarize the latest knowledge on sudden cardiac arrest in athletes during sports events.
Conclusions: Screening tests reduce the incidence of sudden cardiac arrest in athletes. The most common cause is previously unrecognized heart defects - hypertrophic cardiomyopathy. Football players are most at risk of sudden cardiac arrest. The most important factor influencing survival in sudden cardiac arrest is time
References
Cameron H. Landry, M.D., Katherine S. Allan, Ph.D., Kim A. Connelly, M.B., B.S., Ph.D., Kris Cunningham, M.D., Ph.D., Laurie J. Morrison, M.D., and Paul Dorian, M.D., for the Rescu Investigators’Sudden Cardiac Arrest during Participation in Competitive Sports’DOI: 10.1056/NEJMoa1615710
Efraim Kramer, Jiri Dvorak, Walter Kloeck,Correspondence to Professor Efraim Kramer, Faculty of Health Sciences, Office 10M12, Division of Emergency Medicine, University of the Witwatersrand, 7 York Road, Parktown, Johannesburg, 2123, South Africa; efraim.kramer@wits.ac.zaReview of the management of sudden cardiac arrest on the football field
Holmstrom, L, Chugh, H, Uy-Evanado, A. et al. Sudden Cardiac Arrest During Sports Activity in Older Adults. J Am Coll Cardiol EP. 2023 Jul, 9 (7_Part_1) 893–903.
https://doi.org/10.1016/j.jacep.2022.10.033
Maron BJ, Epstein SE, Roberts WC. Causes of sudden death in competitive athletes. J Am Coll Cardiol. 1986 Jan;7(1):204-14. doi: 10.1016/s0735-1097(86)80283-2. PMID: 3510233.
Corrado D, Basso C, Schiavon M, Thiene G. Screening for hypertrophic cardiomyopathy in young athletes. N Engl J Med. 1998 Aug 6;339(6):364-9. doi: 10.1056/NEJM199808063390602. PMID: 9691102.
Abrunzo TJ. Commotio Cordis: The Single, Most Common Cause of Traumatic Death in Youth Baseball. Am J Dis Child. 1991;145(11):1279–1282. doi:10.1001/archpedi.1991.02160110071023
Lauschke, J., Maisch, B. Serce sportowca czy kardiomiopatia przerostowa?. Clin Res Cardiol 98 , 80–88 (2009). https://doi.org/10.1007/s00392-008-0721-2
Maron B J, Pellicia A, Spirito P. Cardiac disease in young trained athletes. Insights into methods for distinguishing athletes heart from structural heart disease, with particular emphasis on hypertrophic cardiomyopathy. Circulation 1995911596–1601
Pellicia A, Maron B J, Spataro A.et al The upper limit of physiological hypertrophy in highly trained elite athletes. N Engl J Med 1991324295–301
Sharma S, Whyte G, Elliott P.et al Electrocardiographic changes in 1000 highly trained junior elite athletes. Br J Sports Med 199933319–324
Elliott PM, Anastasakis A, Borger MA i in. Wytyczne ESC 2014 dotyczące diagnostyki i leczenia kardiomiopatii przerostowej: Grupa Zadaniowa ds. Diagnostyki i Postępowania w Kardiomiopatii Przerostowej Europejskiego Towarzystwa Kardiologicznego (ESC). Eur Serce J. 2014; 35 :1–55. doi: 10.1093/eurheartj/ehu284.
Schnell F., Riding N., O'Hanlon R. i in. Rozpoznawanie i znaczenie patologicznych inwersji załamka T u sportowców. Krążenie. 2015; 131 :165–73. doi: 10.1161/CYRCULATIONAHA.114.011038
J. Andres, Wytyczne resuscytacji 2015, Kraków, Polska Rada Resuscytacji, 2016, s.106; J. Gucwy,T. Madej, M. Ostrowski, Zaawansowane zabiegi resuscytacyjne i wybrane stany nagłe, Kraków,Medycyna Praktyczna, 2017, s.61; J. Jaskuła, Automatyczny defibrylator zewnętrzny (AED)w warunkach szpitalnych, „Ogólnopolski Przegląd Medyczny”, Nr 4, 2013, s.14-16; M. Pyka,G. Dokurno, Publicznie Aktywny Defibrylator – systemy PAD, „Na ratunek” Nr 3, 2016, s.43-48
A. Maciąg, Zastosowanie automatycznych defibrylatorów zewnętrznych w przypadku nagłegozatrzymania krążenia, „Folia Cardiologica”, t. 13, Nr 13, 2006, s. 1-8; M. Pyka, G.Dokurno,Publicznie Aktywny …, s. 43-48
Peterson DF, Kucera K, Thomas LC, et al
Aetiology and incidence of sudden cardiac arrest and death in young competitive athletes in the USA: a 4-year prospective studyBritish Journal of Sports Medicine 2021;55:1196-1203.
Drezner JA, Peterson DF, Siebert DM, et al. Survival After Exercise-Related Sudden Cardiac Arrest in Young Athletes: Can We Do Better? Sports Health. 2019;11(1):91-98. doi:10.1177/1941738118799084
Panhuyzen-Goedkoop, N.M., Wellens, H.J. & Piek, J.J. Early recognition of sudden cardiac arrest in athletes during sports activity. Neth Heart J 26, 21–25 (2018). https://doi.org/10.1007/s12471-017-1061-5
Corrado D, Basso C, Schiavon M, Thiene G. Screening for hypertrophic cardiomyopathy in young athletes. N Engl J Med. 1998 Aug 6;339(6):364-9. doi: 10.1056/NEJM199808063390602. PMID: 9691102.
Kimberly G. Harmon MDIncidence and Etiology of Sudden Cardiac Arrest and Death in High School Athletes in the United States https://doi.org/10.1016/j.mayocp.2016.07.021
Brown, L, Lynes, C, Carroll, T. et al. CPR Instruction in U.S. High Schools: What Is the State in the Nation?. JACC. 2017 Nov, 70 (21) 2688–2695.
https://doi.org/10.1016/j.jacc.2017.09.1101
ELŻBIETA KATARZYNA BIERNACKA Czy „wybrańcy bogów” umierają młodo? Nagły zgon w sporcie
Marijon E., Tafflet M., Celermajer D.S. et al. (2011) Sports-related sudden death in the general population. Circulation 124: 672-681.
Corrado D., Basso C., Rizzoli G., Schiavon M., Thiene G. (2003) Does sports activity enhance the risk of sudden death in adolescents and young adults? J. Am. Coll. Cardiol. 42: 1959- 1963
Maron B.J., Pelliccia A. (2006) The heart of trained athletes: cardiac remodeling and the risks of sports, including sudden death. Circulation 114: 1633-1644.
Drezner J.A., Rogers K.J. (2006) Sudden cardiac arrest in intercollegiate athletes: detailed analysis and outcomes of resuscitation in nine cases. Heart Rhythm 3: 755-759.
]Wilson M., O'Hanlon R., Prasad S. et al. (2011) Diverse patterns of myocardial fibrosis in lifelong, veteran endurance athletes. J. Appl. Physiol. (1985) 110: 1622-1626
Benito B., Gay-Jordi G., Serrano A. et al. (2008) Chronic exercise induces atrial and right ventricular fibrosis in a rat model. Eur. Heart J. 29: 740
Heidbuchel H., Hoogsteen J., Fagard R. et al. (2003) High prevalence of right ventricular involvement in endurance athletes with ventricular arrhythmias. Role of an electrophysiologic study in risk stratification. Eur. Heart J. 24: 1473-1480
Corrado D., Basso C., Rizzoli G., Schiavon M., Thiene G. (2003) Does sports activity enhance the risk of sudden death in adolescents and young adults? J. Am. Coll. Cardiol. 42: 1959- 1963
Corrado D., Basso C., Pavei A. (2006) Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA 296: 1593-1601
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Copyright (c) 2024 Katarzyna Rymaszewska, Natalia Gajdzińska, Justyna Puchała, Dominika Starzomska, Adam Salwa, Wojciech Rutkowski, Karolina Sztuba, Weronika Rostkowska, Maciej Rzepka, Karolina Basiura
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