Document Detail


Marathon cardiac deaths : the london experience.
MedLine Citation:
PMID:  17465632     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Data from the London Marathon, with 650,000 completed runs, show that cardiac arrests occur even in the most experienced runners. Although coronary artery disease was the commonest cause of sudden cardiac arrest (SCA) with five deaths and six resuscitations, hypertrophic cardiomyopathy or idiopathic left ventricular hypertrophy (HCM) was diagnosed at autopsy on three occasions. HCM deaths had the same average age as the runners with ischaemic heart disease who had SCA or sudden cardiac death. The cardiac arrests were at the finish in less than one-third of cases and the remainder occurred between 6 and 26 miles on the course. Only one of the eight runners who died had reported symptoms to his family or physician suggestive of cardiac disease. The runner who had reported pre-race angina pain was investigated with a negative exercise stress test prior to the marathon and despite this died with a left anterior descending coronary artery stenosis. The cardiac death rate for the London Marathon is 1 in 80,000 finishers.
Authors:
Dan S Tunstall Pedoe
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Sports medicine (Auckland, N.Z.)     Volume:  37     ISSN:  0112-1642     ISO Abbreviation:  Sports Med     Publication Date:  2007  
Date Detail:
Created Date:  2007-04-30     Completed Date:  2007-07-12     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8412297     Medline TA:  Sports Med     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  448-50     Citation Subset:  IM    
Affiliation:
DanTPMARDR@aol.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Death*
Diagnosis
Female
Humans
London
Male
Middle Aged
Physical Exertion*
Running*
Sports

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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