1. Cardiac Pathology in Athletes: Sudden Death in Young People Michael J. Lucca MD

2. Cardiac Pathology in Athletes: Sudden Death in Young People

4. Anatomy

5. ECG Intervals

6. 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!

7. What do athletes die from?

10. 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– >500,000 athletes Professional athletes – 5000 Excludes youth, middle school, master level athletes May be > 10 million athletes in USA Sudden death of 1:200,000 high school athletes per year

11. Ethics! Athlete/family responsibility Educational institution or club responsibility (Coaches, trainers) Physician responsibility Inherently dangerous activities “Zero risk” activities

12. Risk Evaluation

13. Hypertrophic Obstructive Cardiomyopathy

17. Commotio Cordis

21. Coronary Artery anomalies

24. Marfan syndrome

30. Mitral Valve Prolapse

31. Arrythmogenic Right Ventricular Cardiomyopathy

34. Trauma

35. Other causes Heat Stroke Asthma Aortic stenosis Drug abuse Coronary artery disease Long QT Syndrome OtherMyocarditis

36. Long QT syndrome

37. 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!