Cardiac Pathology in Athletes:Cardiac Pathology in Athletes:Sudden Death in Young PeopleSudden Death in Young People
Michael J. Lucca MD
Cardiac Pathology in Athletes:Cardiac Pathology in Athletes:Sudden Death in Young PeopleSudden Death in Young People
Cardiac Pathology in Athletes:Cardiac Pathology in Athletes:Sudden Death in Young PeopleSudden Death in Young People
AnatomyAnatomy
ECG IntervalsECG Intervals
Why do I need to know this stuff?Why do I need to know this stuff?
You will be there when something bad You will be there when something bad happens!happens!
You need to know what to do!You need to know what to do!
You need to have a “feel” for those You need to have a “feel” for those athletes who may have cardiac problems!athletes who may have cardiac problems!
You need to know what to do to prevent You need to know what to do to prevent cardiac problems in athletes!cardiac problems in athletes!
What do athletes die from?What do athletes die from?
What do athletes die from?What do athletes die from?
What do athletes die from?What do athletes die from?
How big is the problem of sudden How big is the problem of sudden cardiac death in athletes?cardiac death in athletes?
0.3% general athlete population with a cardiac 0.3% general athlete population with a cardiac conditionconditionGrade 9-12 – 5 million competitive athletesGrade 9-12 – 5 million competitive athletesNCAA, NAIA, and Jr colleges– >500,000 NCAA, NAIA, and Jr colleges– >500,000 athletesathletesProfessional athletes – 5000Professional athletes – 5000Excludes youth, middle school, master level Excludes youth, middle school, master level athletesathletesMay be > 10 million athletes in USAMay be > 10 million athletes in USASudden death of 1:200,000 high school athletes Sudden death of 1:200,000 high school athletes per yearper year
Ethics!Ethics!
Athlete/family responsibilityAthlete/family responsibility
Educational institution or club Educational institution or club responsibility (Coaches, trainers)responsibility (Coaches, trainers)
Physician responsibilityPhysician responsibility
Inherently dangerous activitiesInherently dangerous activities
““Zero risk” activitiesZero risk” activities
Risk EvaluationRisk Evaluation
Hypertrophic Obstructive Hypertrophic Obstructive CardiomyopathyCardiomyopathy
Hypertrophic Obstructive Hypertrophic Obstructive CardiomyopathyCardiomyopathy
Hypertrophic Obstructive Hypertrophic Obstructive CardiomyopathyCardiomyopathy
Hypertrophic Obstructive Hypertrophic Obstructive CardiomyopathyCardiomyopathy
Commotio CordisCommotio Cordis
Commotio CordisCommotio Cordis
Commotio CordisCommotio Cordis
Commotio CordisCommotio Cordis
Coronary Artery anomaliesCoronary Artery anomalies
Coronary Artery anomaliesCoronary Artery anomalies
Coronary Artery anomaliesCoronary Artery anomalies
Marfan syndromeMarfan syndrome
Marfan syndromeMarfan syndrome
Marfan syndromeMarfan syndrome
Marfan syndromeMarfan syndrome
Marfan syndromeMarfan syndrome
Marfan syndromeMarfan syndrome
Mitral Valve ProlapseMitral Valve Prolapse
Arrythmogenic Right Ventricular Arrythmogenic Right Ventricular CardiomyopathyCardiomyopathy
Arrythmogenic Right Ventricular Arrythmogenic Right Ventricular CardiomyopathyCardiomyopathy
Arrythmogenic Right Ventricular Arrythmogenic Right Ventricular CardiomyopathyCardiomyopathy
TraumaTrauma
Other causesOther causes
Heat StrokeHeat StrokeAsthmaAsthmaAortic stenosisAortic stenosisDrug abuseDrug abuseCoronary artery diseaseCoronary artery diseaseLong QT SyndromeLong QT SyndromeOtherOtherMyocarditisMyocarditis
Long QT syndromeLong QT syndrome
SummarySummary
Be aware of causes of sudden cardiac Be aware of causes of sudden cardiac death in athletes and young adultsdeath in athletes and young adults
Know CPRKnow CPR
Know where the AED is located and know Know where the AED is located and know how to use ithow to use it
Know how to get help quicklyKnow how to get help quickly
BE PREPARED!BE PREPARED!
