Sudden death in sports
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Abstract
The sudden death of an athlete is always a tragic event that leads to a great media exposure that generates great social impact. Fortunately, it is an extremely rare event with an incidence of 1: 80,000 to 1: 200,000 athletes per year. The causes vary according to the age of the athlete. In those < 35 years old, predominantly cardiomyopathies, and congenital anomalies of the coronary arteries. Whereas in the > 35 years, the main cause is generally acquired atherosclerotic coronary disease. In both groups, it is common to experience arrhythmic sudden death despite having a structurally normal heart. It is the task of the health teams that treat this population to know and detect potential causes to restrict participation in sport for the athletes at risk (primary prevention). But we must also be prepared to attend sudden deaths of athletes in the field with assistance programs for cardiovascular emergencies including automated external defibrillators (secondary prevention)
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