Muerte súbita en el deporte
Contenido principal del artículo
Resumen
La muerte súbita de un atleta o deportista siempre es un hecho trágico de gran exposición mediática, que genera gran impacto social. Afortunadamente es un hecho extremadamente raro que tiene una incidencia entre 1:80 000 y 1:200 000 atletas/año. Sus causas son distintas de acuerdo con la edad del atleta o deportista. En aquellos menores de 35 años predominan las miocardiopatías y las anomalías congénitas de las arterias coronarias; en los mayores de 35 años, la principal causa es la enfermedad coronaria aterosclerótica adquirida. Es común para ambos grupos la muerte súbita arrítmica con corazón estructuralmente normal. La tarea del equipo de salud que asiste a esta población reside en conocer y detectar las potenciales causas para restringir la participación en el deporte de los atletas en riesgo (prevención primaria). Pero también debemos estar preparados para asistir las muertes súbitas de los atletas en el campo de juego con programas de asistencia para emergencias cardiovasculares que incluyan desfibriladores externos automáticos (prevención secundaria)
Downloads
Detalles del artículo
Sección

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
Cómo citar
Referencias
Maron BJ, Zipes DP, Kovacs RJ, et al. Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Preamble, Principles, and General Considerations: A Scientific Statement From the American Heart Association and American College of Cardiology. Circulation. 2015;132(22):e256-61 DOI: https://doi.org/10.1161/CIR.0000000000000236
Peidró RM, Brión G, Bruzzese M y col. Recomendaciones para la participación en deportes competitivos en personas con anormalidades cardiovasculares. Rev Argent Cardiol 2013,vol 81 suplemento
Jiménez-Pavón D, Artero EG, Lee DC, et al. Cardiorespiratory Fitness and Risk of Sudden Cardiac Death in Men and Women in the United States: A Prospective Evaluation From the Aerobics Center Longitudinal Study. Mayo Clin Proc. 2016;91(7):849-57. DOI: https://doi.org/10.1016/j.mayocp.2016.04.025
Harmon KG, Asif IM, Klossner D, et al. Incidence of sudden cardiac death in National Collegiate Athletic Association athletes. Circulation. 2011;123(15):1594-600. DOI: https://doi.org/10.1161/CIRCULATIONAHA.110.004622
Maron BJ, Doerer JJ, Haas TS, et al. Sudden deaths in Young competitive athletes: analysis of 1866 deaths in the United States, 1980-2006. Circulation. 2009;119(8):1085-92. DOI: https://doi.org/10.1161/CIRCULATIONAHA.108.804617
Maron BJ. Historical Perspectives on Sudden Deaths in Young Athletes With Evolution over 35 Years. Am J Cardiol. 2015;116(9):1461-8. DOI: https://doi.org/10.1016/j.amjcard.2015.07.072
Priori SG, Blomström-Lundqvist C, Mazzanti A, et al. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Eur Heart J. 2015;36(41):2793-867. DOI: https://doi.org/10.1093/eurheartj/ehv316
Solberg EE, Borjesson M, Sharma S, et al. Sport Cardiology Section of the EACPR of the ESC.. Sudden cardiac arrest in sports - need for uniform registration: A Position Paper from the Sport Cardiology Section of the European Association for Cardiovascular Prevention and Rehabilitation. Eur J Prev Cardiol. 2016;23(6):657-67. DOI: https://doi.org/10.1177/2047487315599891
Iglesias DE. Evaluación cardiovascular para realizar actividad física y deportes. Rev. Hosp. Ital. B.Aires 2013;33(4)131-136. DOI: https://doi.org/10.51987/Rev.Hosp.Ital.B.Aires.v33i4.812
Maron BJ, Pelliccia A. The heart of trained athletes: cardiac remodeling and the risks of sports, including sudden death. Circulation. 2006;114(15):1633-44. DOI: https://doi.org/10.1161/CIRCULATIONAHA.106.613562
Drezner JA, Ackerman MJ, Anderson J, et al. Electrocardiographic interpretation in athletes: the ‘Seattle criteria’. Br J Sports Med. 2013;47(3):122-4. DOI: https://doi.org/10.1136/bjsports-2012-092067
Sharma S, Merghani A, Mont L. Exercise and the heart: the good, the bad, and the ugly. Eur Heart J. 2015;36(23):1445-53. DOI: https://doi.org/10.1093/eurheartj/ehv090
Thompson PD, Franklin BA, Balady GJ, et al. Exercise and acute cardiovascular events placing the risks into perspective: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism and the Council on Clinical Cardiology. Circulation. 2007;115(17):2358-68. DOI: https://doi.org/10.1161/CIRCULATIONAHA.107.181485
Corrado D, Basso C, Rizzoli G, et al. Does sports activity enhance the risk of sudden death in adolescents and young adults? J Am Coll Cardiol. 2003;42(11):1959-63. DOI: https://doi.org/10.1016/j.jacc.2003.03.002
Maron BJ, Doerer JJ, Haas TS, et al. Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980-2006. Circulation. 2009;119(8):1085-92. DOI: https://doi.org/10.1161/CIRCULATIONAHA.108.804617
Meyer L, Stubbs B, Fahrenbruch C, et al. Incidence, causes, and survival trends from cardiovascular-related sudden cardiac arrest in children and young adults 0 to 35 years of age: a 30-year review. Circulation. 2012;126(11):1363-72. DOI: https://doi.org/10.1161/CIRCULATIONAHA.111.076810
Maron BJ, Gohman TE, Aeppli D. Prevalence of sudden cardiac death during competitive sports activities in Minnesota high school athletes. J Am Coll Cardiol. 1998;32(7):1881-4. DOI: https://doi.org/10.1016/S0735-1097(98)00491-4
Maron BJ, Haas TS, Murphy CJ, et al. Incidence and causes of sudden death in U.S. college athletes. J Am Coll Cardiol. 2014;63(16):1636-43. DOI: https://doi.org/10.1016/j.jacc.2014.01.041
Harmon KG, Asif IM, Maleszewski JJ, et al. Incidence, Cause, and Comparative Frequency of Sudden Cardiac Death in National Collegiate Athletic Association Athletes: A Decade in Review. Circulation. 2015;132(1):10-9. DOI: https://doi.org/10.1161/CIRCULATIONAHA.115.015431
Corrado D, Basso C, Pavei A, et al. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA. 2006;296(13):1593-601. DOI: https://doi.org/10.1001/jama.296.13.1593
Solberg EE, Gjertsen F, Haugstad E, et al. Sudden death in sports among young adults in Norway. Eur J Cardiovasc Prev Rehabil. 2010;17(3):337-41. DOI: https://doi.org/10.1097/HJR.0b013e328332f8f7
Bohm P, Scharhag J, Meyer T. Data from a nationwide registry on sports-related sudden cardiac deaths in Germany. Eur J Prev Cardiol. 2016;23(6):649-56. DOI: https://doi.org/10.1177/2047487315594087
Quigley F. A survey of the causes of sudden death in sport in the Republic of Ireland. Br J Sports Med. 2000;34(4):258-61. DOI: https://doi.org/10.1136/bjsm.34.4.258
Marijon E, Tafflet M, Celermajer DS, et al. Sports-related sudden death in the general population. Circulation. 2011;124(6):672-81. DOI: https://doi.org/10.1161/CIRCULATIONAHA.110.008979
Steinvil A, Chundadze T, Zeltser D, et al. Viskin S. Mandatory electrocardiographic screnning of athletes to reduce their risk for sudden death proven fact or wishful thinking? J Am Coll Cardiol. 2011;57(11):1291-6. DOI: https://doi.org/10.1016/j.jacc.2010.10.037
Harmon KG, Drezner JA, Wilson MG, et al. Incidence of sudden cardiac death in athletes: a state-of-the-art review. Br J Sports Med. 2014;48(15):1185-92. DOI: https://doi.org/10.1136/bjsports-2014-093872
Hernández MV, Reyes Guzmán A y Escobar Yanes L. Estudio sobre muerte súbita en deportistas 1985-1995. Med. Leg. Costa Rica. 1998; 15(1-2):44-51.
Chugh SS, Weiss JB. Sudden cardiac death in the older athlete. J Am Coll Cardiol. 2015;65(5):493-502. DOI: https://doi.org/10.1016/j.jacc.2014.10.064
Finocchiaro G, Papadakis M, Robertus JL, et al. Etiology of Sudden Death in Sports: Insights From a United Kingdom Regional Registry. J Am Coll Cardiol. 2016;67(18):2108-15. DOI: https://doi.org/10.1016/j.jacc.2016.02.062
Drezner JA, Chun JS, Harmon KG, et al. Survival trends in the United States following exercise-related sudden cardiac arrest in the youth: 2000-2006. Heart Rhythm. 2008;5(6):794-9. DOI: https://doi.org/10.1016/j.hrthm.2008.03.001