Sudden Death in Sports: Case Report and Review of an Ongoing Problem

• 作者: Andrea Ruso-Ruso Asunción Pérez-Fullana Carla Miró-Vicedo Carmen Seguí-Pérez David Bonet-Tur Francisco Caparrós-Hernández Jorge Peris-García José Miguel Seguí-Ripoll Juan Méndez-Mora Marc Seguí-Pérez María del Mar Ponce-Abellán María Dolores Jover-Ríos María Elena Caparrós-Hernández Mónica García-Fernández Pablo Roig-Rico Pedro Esteve-Atiénzar
• 来源期刊: 健康(英文)
• 学科: 医学
• 关键词: Sudden Death SPORTS Athletes CARDIOPULMONARY RESUSCITATION IMPLANTABLE Automatic DEFIBRILLATOR
• 年，卷（期）: 2019,（1）
• 页码范围: 67-80
• 页数: 14页
• 分类号: R73

摘要

Background: Both competitive and recreational sports are considered a positive practice that is good for human health and quality of life, so it is difficult to understand how young, energetic and apparently healthy people can die while playing their usual sports. When these events occur in elite athletes during monitored events, they normally receive considerable media attention. Objective: To describe the case of sudden death in a young professional athlete who was successfully aided and resuscitated outside our hospital, and to review the literature about sudden death in sports. Materials and Method: We searched for Sudden Death (according to the International Classification of Diseases (ICD-9 and ICD-10)) in our hospital but found no other relevant cases. We performed a literature search on the state of the art in sudden death (Google Scholar, PubMed, LILACS, Scielo and the Revista Española de Cardiología). Results: Although we observed that the prevalence of sudden death is not very high, it still represents a potentially avoidable event. An adequate medical examination prior to regular sporting practice can decrease the incidence of sudden death in athletes under the age of 35. Data available in the literature support medical check-ups that include history-taking, physical examination and electrocardiogram. The findings of this evaluation may also prompt further assessment (electrocardiograph, ergometry). Conclusions: We could not identify standard, obligatory guidelines for screening possible heart diseases causing cardiorespiratory failure and sudden death. As a measure for primary prevention, we propose a protocol for reducing the risk of sudden death in athletes.