cardiac pathology in athletes: sudden death in young people michael j. lucca md

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  • Cardiac Pathology in Athletes:Sudden Death in Young PeopleMichael J. Lucca MD

  • Cardiac Pathology in Athletes:Sudden Death in Young People

  • 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?

  • What do athletes die from?

  • What do athletes die from?

  • How big is the problem of sudden cardiac death in athletes?0.3% general athlete population with a cardiac conditionGrade 9-12 5 million competitive athletesNCAA, NAIA, and Jr colleges >500,000 athletesProfessional athletes 5000Excludes youth, middle school, master level athletesMay be > 10 million athletes in USASudden death of 1:200,000 high school athletes per year

  • Ethics!Athlete/family responsibilityEducational institution or club responsibility (Coaches, trainers)Physician responsibilityInherently dangerous activitiesZero risk activities

  • Risk Evaluation

  • Hypertrophic Obstructive Cardiomyopathy

  • Hypertrophic Obstructive Cardiomyopathy

  • Hypertrophic Obstructive Cardiomyopathy

  • Hypertrophic Obstructive Cardiomyopathy

  • Commotio Cordis

  • Commotio Cordis

  • Commotio Cordis

  • Commotio Cordis

  • Coronary Artery anomalies

  • Coronary Artery anomalies

  • Coronary Artery anomalies

  • Marfan syndrome

  • Marfan syndrome

  • Marfan syndrome

  • Marfan syndrome

  • Marfan syndrome

  • Marfan syndrome

  • Mitral Valve Prolapse

  • Arrythmogenic Right Ventricular Cardiomyopathy

  • Arrythmogenic Right Ventricular Cardiomyopathy

  • Arrythmogenic Right Ventricular Cardiomyopathy

  • Trauma

  • Other causesHeat StrokeAsthmaAortic stenosisDrug abuseCoronary artery diseaseLong QT SyndromeOtherMyocarditis

  • Long QT syndrome

  • SummaryBe aware of causes of sudden cardiac death in athletes and young adultsKnow CPRKnow where the AED is located and know how to use itKnow how to get help quicklyBE PREPARED!