Document Detail


Sports-related and non-sports-related sudden cardiac death in young adults.
MedLine Citation:
PMID:  1825009     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sports-related sudden cardiac deaths were compared with non-sports-related sudden cardiac death in individuals (14 to 40 years old) who were autopsied from 1981 to 1988 at the Maryland Medical Examiner's Office. Thirty-four of 690 total cases of sudden cardiac death were sports-related, which represents 5% of sudden cardiac death in this age group. Causes of death were severe atherosclerosis (nine), hypertrophic cardiomyopathy with asymmetry (eight), coronary artery anomalies (four), idiopathic concentric left ventricular hypertrophy (three), myocarditis (two), arrhythmogenic right ventricle (one), Kawasaki disease (one), and unknown (six); two of the cases with unknown causes had tunnel arteries. Exercise-related deaths were more likely due to hypertrophic cardiomyopathy (p = 0.0007) compared with 102 age-, sex-, and race-matched controls in the non-exercise group; there was no difference in the incidence of severe atherosclerosis (p = 0.4). The mean age of individuals with hypertrophic cardiomyopathy with asymmetry was less than that of those with severe atherosclerosis (24 vs 32 years, p = 0.03). Thus exercise precipitates sudden cardiac death in younger individuals with hypertrophic cardiomyopathy.
Authors:
A P Burke; A Farb; R Virmani; J Goodin; J E Smialek
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American heart journal     Volume:  121     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-03-06     Completed Date:  1991-03-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  568-75     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiovascular Pathology, Armed Forces Institute of Pathology, Washington, D.C. 20306-6000.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Baltimore / epidemiology
Cardiomegaly / mortality
Cardiomyopathy, Hypertrophic / mortality
Cause of Death
Coronary Artery Disease / mortality
Coronary Disease / mortality
Death, Sudden / epidemiology*,  etiology
Exercise
Humans
Retrospective Studies
Sports*

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


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