Sudden Cardiac Death in Athletes: Facts and Fallacies

Lalario, Andrea; Merro, Enzo; Sinagra, Gianfranco; Sharma, Sanjay; Papadakis, Michael; Finocchiaro, Gherardo

doi:10.3390/jcdd10020068

Cited by 13 publications

(15 citation statements)

References 69 publications

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“…This discrepancy might be attributed to the health education provided by clinicians during diagnosis or follow-up, as physicians have been identified as the primary source of knowledge about CVDs. 39 , 40…”

Section: Discussionmentioning

confidence: 99%

The Impact of Heart Attack and Sudden Cardiac Death Risk Perception on Lifestyle Modification Intention Among Adults in Jazan Province

Hakami,

Alhazmi,

Zaalah

et al. 2023

PPA

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Purpose This study aimed to assess the perception of sudden cardiac death (SCD) and heart attack risk and its influence on the intention to adopt healthy lifestyle behaviors among the general population in Jazan province, Saudi Arabia. SCD refers to an abrupt and unexpected loss of heart function resulting in death, and its incidence has been alarmingly increasing worldwide. Several factors, including smoking, hypertension, diabetes, obesity, and specific medications, have been associated with an elevated risk of SCD. Methods A descriptive cross-sectional study was conducted using a pretested questionnaire distributed among the general population in Jazan province. Descriptive statistics, chi-square, and t -tests were employed for data analysis. Results The study included 974 participants with a mean age of 27.90 ± 9.32 years, of whom 56% were female. More than half of the participants perceived themselves as highly susceptible to SCD, and all participants demonstrated a moderate willingness and readiness to modify their unhealthy lifestyle behaviors. Age, gender, marital status, body mass index (BMI), history of hypertension, dyslipidemia, medication use, physical exercise, and family history of chronic diseases and SCD were statistically associated with the perception of SCD. Conclusion The study revealed a high-risk perception and a moderate readiness to adopt lifestyle modifications. These findings can inform the development of effective strategies and support programs aimed at reducing the burden of SCD.

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Section: Discussionmentioning

confidence: 99%

The Impact of Heart Attack and Sudden Cardiac Death Risk Perception on Lifestyle Modification Intention Among Adults in Jazan Province

Hakami,

Alhazmi,

Zaalah

et al. 2023

PPA

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show abstract

“…This may be a genetic cause resulting in an abnormal heart structure in the coronary artery, left ventricular hypertrophy, hypertrophic cardiomyopathy, or valvular disease [ 4 ]. Commotio cordis, an ion channelopathy, is suggested when autopathy remains undiagnosed [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Hot weather induces the loss of body fluids and dehydration. Dehydration can cause acid-base disturbance, electrolyte imbalance, and large adrenergic secretion during exercise, all of which lead to increased hypercoagulability and an increased risk of acute coronary syndrome [ 5 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Can Hot Weather Cause Non-ST Elevation Myocardial Infarction in Young Athletic Male Runners?

Elrobaa,

Elmaasarawi

2023

Cureus

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Athletes are a group of people who have good activity, regular muscular exercise, an almost standard lifestyle, and should be in good condition with low rates of medical, particularly cardiovascular, complications. However, cardiac attacks, sudden cardiac deaths, and fatal arrhythmogenic syndromes have been reported in athletes with low incidences. We can determine external and internal factors that lead to cardiac attacks in athletes. The former include abnormal cardiac structures and genetics, while the latter include environmental conditions like extreme temperatures, smoking, and drug abuse. Here, we report a case of a cardiac attack with non-ST elevation myocardial infarction (NSTEMI) in a young athlete who was a non-smoker, did not have any abnormal heart structures or a history of drug abuse, and did not have a family history of cardiac disease or arrest. High humidity levels and temperatures were the main causes of the cardiac attack, which occurred during a sports exercise at high temperatures with high humidity levels. We hope to prevent the recurrence of such a case. We need to understand when and where sports exercises can be performed without the risk of medical complications.

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“…Sometimes (in athletes with structurally normal hearts) the underlying condition is not identified even on autopsy. Sudden cardiac death in older athletes (age >35) is usually due to underlying coronary artery disease, however, in younger athletes (age <35), ion channelopathies and primary cardiomyopathies are usually the underlying causes [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Sudden Cardiac Death in Athletes: Consensuses and Controversies

Ghani¹,

Farooq²,

Alam³

et al. 2023

Cureus

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Exercise is widely considered beneficial for cardiovascular health. However, on rare occasions, athletes experience sudden cardiac death without any preceding symptoms. The devastating nature of these events necessitates us to understand the underlying causes. In younger athletes (age <35), the underlying causes are usually hereditary/genetic, whereas in older athletes (age >35), coronary artery disease is prevalent. Sudden cardiac death in athletes can occur regardless of the presence of any structural abnormality in the heart. Despite divergence between guidelines, the majority of cardiology societies recommend at least taking a comprehensive history and performing physical examinations for initial screening for all athletes. This article reviews the consensuses and controversies regarding the incidence, causes, and prevention of sudden cardiac death in athletes.

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Sudden Cardiac Death in Athletes: Facts and Fallacies

Cited by 13 publications

References 69 publications

The Impact of Heart Attack and Sudden Cardiac Death Risk Perception on Lifestyle Modification Intention Among Adults in Jazan Province

The Impact of Heart Attack and Sudden Cardiac Death Risk Perception on Lifestyle Modification Intention Among Adults in Jazan Province

Can Hot Weather Cause Non-ST Elevation Myocardial Infarction in Young Athletic Male Runners?

Sudden Cardiac Death in Athletes: Consensuses and Controversies

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