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

Cardiac Pathology in Athletes: Sudden Death in Young People

Anatomy

ECG Intervals

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!

What do athletes die from?

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

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

Risk Evaluation

Hypertrophic Obstructive Cardiomyopathy

Commotio Cordis

Coronary Artery anomalies

Marfan syndrome

Mitral Valve Prolapse

Arrythmogenic Right Ventricular Cardiomyopathy

Trauma

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

Long QT syndrome

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!