Preventing Sudden Death in Competitive Athletes: An Overview

in International Journal of Athletic Therapy and Training

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Anthony RossiAdrian College

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Tina ClaiborneAdrian College

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Jamie FetterAdrian College

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Sudden cardiac death (SCD) is the leading cause of sudden death in young athletes. It has been estimated that SCD occurs three times more often in athletes than in nonathletes and is defined as a sudden unexpected death due to a previously undiagnosed cardiac structural abnormality. The precise incidence of SCD is unclear, but various studies have estimated that 2–3% of the general population have some cardiovascular anomaly and that the SCD rate in athletes ranges from 1:50,000 to 1:200,000 athletes per year. According to the National Athletic Trainers’ Association (NATA) position statement on preventing sudden death, a report from the National Collegiate Athletic Association stated that the SCD rate in student-athletes is slightly higher, at 1:43,000 per year.

Anthony Rossi, Tina Claiborne, and Jamie Fetter are with Adrian College, Adrian, MI. Joe J. Piccininni, EdD, CAT(C), The University of Toronto, is the report editor for this article.

Address author correspondence to Anthony Rossi at arossi@Adrian.edu.
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  • 1.

    Harmon KG, Asif IM, Klossner D, Drezner JA. Incidence of sudden cardiac death in National Collegiate Athletic Association Athletes. Circulation. 2011;123(15):15941600. PubMed doi:10.1161/CIRCULATIONAHA.110.004622

    • Search Google Scholar
    • Export Citation
  • 2.

    Harmon KG, Drezner JA, Wilson MG, Sharm S. Incidence of sudden cardiac death in athletes: a state-of-the-art review. Heart. 2014;100:12271234. PubMed doi:10.1136/heartjnl-2014-093872.rep

    • Search Google Scholar
    • Export Citation
  • 3.

    Thiene G, Corrado D, Schiavon M, Basso C. Screening of competitive athletes to prevent sudden death. Heart. 2013;99:304306. PubMed doi:10.1136/heartjnl-2012-302411

    • Search Google Scholar
    • Export Citation
  • 4.

    Corrado D, Migliore F, Bevilacqua M, Basso C, Thiene G. Sudden cardiac death in athletes: can it be prevented by screening? Herz. 2009;34(4)259266. PubMed doi:10.1007/s00059-009-3236-3

    • Search Google Scholar
    • Export Citation
  • 5.

    Patel V, Elliott P. Sudden death in athletes. Clin Med. 2012;12(30):253256. doi:10.7861/clinmedicine.12-3-253

  • 6.

    Patel A, Lantos JD. Can we prevent sudden cardiac death in young athletes: the debate about preparticipation sports screening. Acta Paediatr. 2011;100:12971301. doi:10.1111/j.1651-2227.2011.02337.x

    • Search Google Scholar
    • Export Citation
  • 7.

    Maron BJ, Shirani J, Poliac LC, Mathenge R, Roberts WC, Mueller FO. Sudden death in young competitive athletes clinical, demographic, and pathological profiles. JAMA. 1996;276(3):199204. PubMed doi:10.1001/jama.1996.03540030033028

    • Search Google Scholar
    • Export Citation
  • 8.

    Angelini P, Vidovich MI, Lawless CE, et al. Preventing sudden cardiac death in athletes: in search of evidence-based, cost-effective screening. Tex Heart Inst J. 2013;40(2):148155. PubMed

    • Search Google Scholar
    • Export Citation
  • 9.

    Thiene G, Corrado D, Rigato I, Basso C. Why and how to support screening strategies to prevent sudden death in athletes. Cell Tissue Res. 2012;348:315318. doi:10.1007/s00441-012-1398-4

    • Search Google Scholar
    • Export Citation
  • 10.

    Sharma S, Merghani A, Gati S. Cardiac screening of young athletes prior to participation in sports difficulties in detecting the fatally flawed among the fabulously fit. JAMA Int Med. 2015;175(1):125127. doi:10.1001/jamainternmed.2014.6023

    • Search Google Scholar
    • Export Citation
  • 11.

    Fitzgerald NM, Sherwood M, Fitzgerald DA. Can an athlete have too much ticker? Hypertrophic cardiomyopathy in young athletes. J Paediatr Child Health. 2012;48(10):156160. doi:10.1111/j.1440-1754.2012.02504.x

    • Search Google Scholar
    • Export Citation
  • 12.

    Aggarwal A, Ferrari G, Joyce E, et al. Architectural trends in the human normal and bicuspid aortic valve leaflet and its relevance to valve disease. Ann Biomed Eng. 2014;42(5):986998. doi:10.1007/s10439-014-0973-0

    • Search Google Scholar
    • Export Citation
  • 13.

    Yuan SM. The anatomopathology of bicuspid aortic valve. Folia Morphol. 2011;70(4):217227. PubMed

  • 14.

    Losenno KL, Chu MW. Five things to know about bicuspid aortic valve disease. CMAJ. 2013;185(18):15991599. PubMed doi:10.1503/cmaj.121875

    • Search Google Scholar
    • Export Citation
  • 15.

    Vohra HA, Whistance RN, De Kerchove L, Punjabi P, El Khoury G. Valve-preserving surgery on the bicuspid aortic valve. Eur J Cardiothorac Surg. 2013;43:888898. PubMed doi:10.1093/ejcts/ezs664

    • Search Google Scholar
    • Export Citation
  • 16.

    Song MG, Yang HS, Choi JB, Shin JK, Chee HK, Kim JS. Aortic valve reconstruction with use of pericardial leaflets in adults with bicuspid aortic valve disease: early and midterm outcomes. Tex Heart Inst J. 2014;41(6):585591. PubMed doi:10.14503/THIJ-13-3619

    • Search Google Scholar
    • Export Citation
  • 17.

    Tzemos N, Therrien J, Yip J, et al. Outcomes in adults with bicuspid aortic vavles. JAMA. 2008;300(11):13171325. PubMed doi:10.1001/jama.300.11.1317

    • Search Google Scholar
    • Export Citation
  • 18.

    Varma PK, Neema PK. Hypertrophic cardiomyopathy: part 1— Introduction, pathology and pathophysiology. Ann Card Anaesth. 2014;17(2):118124. doi:10.4103/0971-9784.129841

    • Search Google Scholar
    • Export Citation
  • 19.

    Rossi A, Claiborne T, Fetter T. Preventing sudden death in a competitive athlete: A case report. Int J Athl Ther Train. 2018;23(3). doi:10.1123/ijatt.2017-0048

    • Search Google Scholar
    • Export Citation
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