Cardiac Pathology in Athletes: Sudden Death in Young People

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Cardiac Pathology in AthletesSudden Death in
Young People
Michael J. Lucca MD
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Cardiac Pathology in AthletesSudden Death in
Young People
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Cardiac Pathology in AthletesSudden Death in
Young People
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Anatomy
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ECG Intervals
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Why do I need to know this stuff?

• You will be there when something bad happens!
• You need to know what to do!
• You need to have a feel for those athletes who
  may have cardiac problems!
• You need to know what to do to prevent cardiac
  problems in athletes!

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What do athletes die from?
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What do athletes die from?
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What do athletes die from?
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How big is the problem of sudden cardiac death in
athletes?

• 0.3 general athlete population with a cardiac
  condition
• Grade 9-12 5 million competitive athletes
• NCAA, NAIA, and Jr colleges gt500,000 athletes
• Professional athletes 5000
• Excludes youth, middle school, master level
  athletes
• May be gt 10 million athletes in USA
• Sudden death of 1200,000 high school athletes
  per year

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Ethics!

• Athlete/family responsibility
• Educational institution or club responsibility
  (Coaches, trainers)
• Physician responsibility
• Inherently dangerous activities
• Zero risk activities

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Risk Evaluation
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Hypertrophic Obstructive Cardiomyopathy
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Hypertrophic Obstructive Cardiomyopathy
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Hypertrophic Obstructive Cardiomyopathy
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Hypertrophic Obstructive Cardiomyopathy
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Commotio Cordis
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Commotio Cordis
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Commotio Cordis
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Commotio Cordis
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Coronary Artery anomalies
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Coronary Artery anomalies
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Coronary Artery anomalies
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Marfan syndrome
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Marfan syndrome
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Marfan syndrome
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Marfan syndrome
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Marfan syndrome
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Marfan syndrome
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Mitral Valve Prolapse
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Arrythmogenic Right Ventricular Cardiomyopathy
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Arrythmogenic Right Ventricular Cardiomyopathy
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Arrythmogenic Right Ventricular Cardiomyopathy
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Trauma
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Other causes

• Heat Stroke
• Asthma
• Aortic stenosis
• Drug abuse
• Coronary artery disease
• Long QT Syndrome
• Other
• Myocarditis

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Long QT syndrome
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Summary

• Be aware of causes of sudden cardiac death in
  athletes and young adults
• Know CPR
• Know where the AED is located and know how to use
  it
• Know how to get help quickly
• BE PREPARED!