Sudden Cardiac Death in Athletes: From the Basics to the Practical Work-Up

Kochi, Adriano Nunes; Vettor, Giulia; Dessanai, Maria Antonietta; Pizzamiglio, Francesca; Tondo, Claudio

doi:10.3390/medicina57020168

Cited by 13 publications

(14 citation statements)

References 60 publications

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“…Niektóre szacunki obejmują tylko zgony w czasie wysiłku lub wkrótce po jego zakończeniu (po upływie poniżej 1 godziny), a inne każdy SCD u sportowca (wysiłkowy i poza wysiłkiem), a także przypadki nagłego zatrzymania krążenia niezakończone zgonem. Również definicja sportowca w badaniach epidemiologicznych oceniających incydenty sercowe nie jest jednolita [2,3]. Wiarygodne dane pochodzą z badań przeprowadzonych we Włoszech, w regionie Veneto, z wykorzystaniem danych z regionalnych rejestrów.…”

Section: Epidemiologia I Czynniki Ryzykaunclassified

Sudden cardiac death in athletes – can we prevent it?

SŁOWIACZEK¹,

MATYKA²,

WOJNAR³

et al. 2023

J Educ Health Sport

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Introduction and purpose: Sudden cardiac death (SCD) is a rare condition, however it is the leading medical cause of death in population of athletes. This study reviews the epidemiology and common causes of SCD in this group. The literature on the role of pre-participation screening and of the other preventive measures was also reviewed. Review methods: A review of the available literature on sudden cardiac death in athletes was conducted using PubMed and Google Scholar databases. Description of the state of knowledge: SCD is the leading cause of death in athletes. However, the incidence is difficult to estimate and varies in different populations. The etiology is age-dependent, in young individuals the most common cause of sudden cardiac death are hypertrophic cardiomyopathy and congenital coronary artery anomalies. In the older athlete population (over 35 years old) atherosclerotic coronary artery disease is the main cause. Screening process varies between countries and besides taking the medical history and physical examination can involve electrocardiogram, echocardiography and other examinations. Conclusions: A review of the following studies has shown, that pre-participation screening of athletes may help to reduce the incidence of sudden death. Equal focus should be put on the availability of medical facilities during sports events, including experienced medical team and access to automated external defibrillation.

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Section: Epidemiologia I Czynniki Ryzykaunclassified

Sudden cardiac death in athletes – can we prevent it?

SŁOWIACZEK¹,

MATYKA²,

WOJNAR³

et al. 2023

J Educ Health Sport

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“…Magnesium is demonstrated to promote muscle synthesis through activation of the mTOR pathway [106]. Magnesium might have a lifesaving role in sports due to its demonstrated arrhythmia prevention effects [131], given that most sudden cardiac deaths in athletes occur through arrhythmias [132]. Multiple studies have proved the efficiency of magnesium in sports-related performance, such as increases in muscle strength and walking and running speed and a decrease in lactate levels [105].…”

Section: Mineralsmentioning

confidence: 99%

New Insight and Future Perspectives on Nutraceuticals for Improving Sports Performance of Combat Players: Focus on Natural Supplements, Importance and Advantages over Synthetic Ones

Tirla

Islam

et al. 2022

Applied Sciences

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Advanced nutritional interventions are one of the key components of elite sports performance in general. Combat sports require a high percentage of muscle mass with minimum body weight to generate the maximum power possible. An adequate level of nutrition knowledge, particularly with respect to identifying energy needs while avoiding confusion over dietary supplements and false perceptions of steroid requirement, which may compromise the health condition, is of crucial importance. In this context, the aim of our work is to highlight nutritional requirements/nutritional assessment, the importance of daily dietary intake in combat players, which increasingly includes a broad range of sports nutrition supplements, and the roles of vitamins, minerals and proteins, combined with antioxidants and strength training, in muscular performance. The main nutrients required in the daily diet of combat players, the mechanisms of action, the main outcomes and possible side effects are summarized. Special attention is paid to natural supplements and their importance and advantages over synthetic ones, along with future trends of development.

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“…Hypertrophic cardiomyopathy (HCM) is a genetic disease of the sarcomere characterized by abnormal left ventricular (LV) hypertrophy [ 1 ]. Previous studies have reported that HCM is one of the most common heart diseases in patients with sudden cardiac death (SCD) [ 2 ]. SCD due to ventricular tachycardia (VT) is the most devastating consequence of HCM [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Catheter ablation versus antiarrhythmic drug therapy for sustained ventricular tachycardia in patients with hypertrophic cardiomyopathy

Dong,

Song,

et al. 2024

BMC Cardiovasc Disord

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Background Ventricular tachycardia (VT) is the primary cause of sudden cardiac death in patients with hypertrophic cardiomyopathy (HCM). However, the strategy for VT treatment in HCM patients remains unclear. This study is aimed to compare the effectiveness of catheter ablation versus antiarrhythmic drug (AAD) therapy for sustained VT in patients with HCM. Methods A total of 28 HCM patients with sustained VT at 4 different centers between December 2012 and December 2021 were enrolled. Twelve underwent catheter ablation (ablation group) and sixteen received AAD therapy (AAD group). The primary outcome was VT recurrence during follow-up. Results Baseline characteristics were comparable between two groups. After a mean follow-up of 31.4 ± 17.5 months, the primary outcome occurred in 35.7% of the ablation group and 90.6% of the AAD group (hazard ratio [HR], 0.29 [95%CI, 0.10–0.89]; P = 0.021). No differences in hospital admission due to cardiovascular cause (25.0% vs. 71.0%; P = 0.138) and cardiovascular cause-related mortality/heart transplantation (9.1% vs. 50.6%; P = 0.551) were observed. However, there was a significant reduction in the composite endpoint of VT recurrence, hospital admission due to cardiovascular cause, cardiovascular cause-related mortality, or heart transplantation in ablation group as compared to that of AAD group (42.9% vs. 93.7%; HR, 0.34 [95% CI, 0.12–0.95]; P = 0.029). Conclusions In HCM patients with sustained VT, catheter ablation reduced the VT recurrence, and the composite endpoint of VT recurrence, hospital admission due to cardiovascular cause, cardiovascular cause-related mortality, or heart transplantation as compared to AAD.

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Sudden Cardiac Death in Athletes: From the Basics to the Practical Work-Up

Cited by 13 publications

References 60 publications

Sudden cardiac death in athletes – can we prevent it?

Sudden cardiac death in athletes – can we prevent it?

New Insight and Future Perspectives on Nutraceuticals for Improving Sports Performance of Combat Players: Focus on Natural Supplements, Importance and Advantages over Synthetic Ones

Catheter ablation versus antiarrhythmic drug therapy for sustained ventricular tachycardia in patients with hypertrophic cardiomyopathy

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