Search For: 10 Or 12

Search for: 10 or 12
Citations: 1-69
Database: Ovid MEDLINE(R) <1996 to February Week 2 2004>
Search Strategy:
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1 death, sudden/ or death, sudden, cardiac/ (4150)
2 exp sports/ or exp sports medicine/ (20175)
3 1 and 2 (202)
4 limit 3 to english language (161)
5 (*death, sudden/ or *death, sudden, cardiac/) and 4 (110)
6 (exp *sports/ or exp *sports medicine/) and 5 (88)
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8 6 (88)
9 limit 8 to local holdings (35)
10 7 or 9 (44)
11 6 not 10 (44)
12 from 11 keep 1-7,10-13,20,23,26,28-32,37-38,40-42,44 (25)
13 10 or 12 (69)
14 from 13 keep 1-69 (69)
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Citation <1>
Unique Identifier
9636339
Authors
O'Connor FG. Kugler JP. Oriscello RG.
Institution
Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Title
Sudden death in young athletes: screening for the needle in a haystack.[see comment][erratum appears in Am Fam Physician 1999 Feb 1;59(3):540]. [Review] [31 refs]
Comments
Comment in: Am Fam Physician. 1998 Nov 15;58(8):1760-1; PMID: 9835851
Source
American Family Physician. 57(11):2763-70, 1998 Jun.
Abstract
Nontraumatic sudden death in young athletes is always disturbing, as apparently invincible athletes, become, without warning, victims of silent heart disease. Despite public perception to the contrary, sudden death in young athletes is exceedingly rare. It most commonly occurs in male athletes, who have estimated death rates nearly fivefold greater than the rates of female athletes. Congenital cardiovascular disease is the leading cause of non-traumatic sudden athletic death, with hypertrophic cardiomyopathy being the most common cause. Screening athletes for disorders capable of provoking sudden death is a challenge because of the low prevalence of disease, and the cost and limitations of available screening tests. Current recommendations for cardiovascular screening call for a careful history and physical examination performed by a knowledgeable health care provider. Specialized testing is recommended only in cases that warrant further evaluation. [References: 31]
Citation <2>
Unique Identifier
9835851
Authors
Holmes PS. Kerle KK. Seto CK.
Title
Sickle cell trait and sudden death in athletes.[comment].
Comments
Comment on: Am Fam Physician. 1998 Jun;57(11):2763-70; PMID: 9636339
Source
American Family Physician. 58(8):1760-1, 1998 Nov 15.
Citation <3>
Unique Identifier
10740158
Authors
Kinoshita N. Mimura J. Obayashi C. Katsukawa F. Onishi S. Yamazaki H.
Institution
Sports Medicine Research Center, Keio University, Japan.
Title
Aortic root dilatation among young competitive athletes: echocardiographic screening of 1929 athletes between 15 and 34 years of age.
Source
American Heart Journal. 139(4):723-8, 2000 Apr.
Abstract
BACKGROUND: Aortic dilatation can be lethal for young competitive athletes. The prevalence among athletes is not known, however, and thus a reasonable approach to early recognition remains uncertain. METHODS AND RESULTS: Echocardiograms of 1929 normotensive athletes 15 to 34 years of age were analyzed. Five (0.26%) athletes had aortic dilatation; 4 of the 5 played basketball. This made the prevalence of aortic dilatation 0.96% (4 of 415) among basketball and volleyball players, who represented a population of especially tall athletes. Tallness aside, only 2 of the 5 athletes had features of Marfan syndrome. Among the athletes without aortic dilatation, the relation between body surface area and aortic root dimension was nonlinear and best described with a quadratic regression model. Athletes with aortic dilatation fell well outside the 95% confidence interval. CONCLUSION: Because a higher incidence of aortic dilatation is to be anticipated among very tall athletes, inclusion!
of echocardiography in screening before participation in certain sports should be considered.
Citation <4>
Unique Identifier
8752203
Authors
Comfort SR. Curry RC Jr. Roberts WC.
Institution
Department of Medicine, Orlando General Hospital, Florida, USA.
Title
Sudden death while playing tennis due to a tear in ascending aorta (without dissection) and probable transient compression of the left main coronary artery.
Source
American Journal of Cardiology. 78(4):493-5, 1996 Aug 15.
Citation <5>
Unique Identifier
10392228
Authors
Futterman LG. Lemberg L.
Institution
Department of Medicine, University of Miami School of Medicine, Fla., USA.
Title
Commotio cordis: sudden cardiac death in athletes.
Source
American Journal of Critical Care. 8(4):270-2, 1999 Jul.
Abstract
Commotio cordis due to blunt trauma to the precordium is a rare cause of death in young athletes, occurring less frequently than all of the other athletics-related deaths. Several measures, such as the use of safety baseballs and the use of chest protectors, can help protect young athletes from commotio cordis. In general, sudden cardiac death in athletes is receiving increasing attention from the public as a result of recent deaths of high-profile athletes. Sudden cardiac death, however, is rare, with an estimated 1 out of 200,000 high school athletes at risk each year. However, the personal, physiological, and cardiovascular benefits of athletics far outweigh the risks. Therefore, the message to parents is to allow their children to participate in athletics because the benefits far outweigh the risks.
Citation <6>
Unique Identifier
9662112
Authors
Lesauskaite V. Valanciute A.
Institution
Kaunas Medical Academy, Institute of Cardiology, Lithuania.
Title
Causes of sudden cardiac death in young athletes: the role of hypoperfusion.
Source
American Journal of Forensic Medicine & Pathology. 19(2):157-61, 1998 Jun.
Abstract
The role of hypoperfusion in cases of sudden cardiac death of young athletes is discussed. The coronary index, a ratio of the coronary caliber and the myocardial mass, was estimated from postmortem coronary angiograms. The coronary index reflects the degree of myocardial blood supply. In each case, a decrease in the coronary index, in combination with fibrosis and necrosis of the myocardium, was revealed. We suggest that recurring myocardial necrosis developed as a result of hypoperfusion of the hypertrophic myocardium during physical overload.
Citation <7>
Unique Identifier
12464814
Authors
Byard RW. James RA. Gilbert JD.
Institution
Forensic Science, Aldeaide, South Australia.
Title
Childhood sporting deaths.
Source
American Journal of Forensic Medicine & Pathology. 23(4):364-7, 2002 Dec.
Abstract
Exercise-induced collapse and sudden death are unusual in childhood. For this reason, a study was undertaken of a series of 12 cases of sudden death in childhood occurring during physical exertion associated with sporting activities. The age range was 7 to 16 years (mean 12.3 years, M:F ratio 5:1). Deaths resulted from trauma associated with the sporting activity, from an idiosyncratic response to exertion, or from exacerbation of a known underlying disease. Trauma was directly fatal (n = 4: vascular trauma in 1, head injury in 2, drowning in 1), exacerbated an underlying medical condition (n = 1: hypertrophic obstructive cardiomyopathy), or followed collapse from underlying organic disease (n = 1: drowning in epilepsy). Deaths after exertion occurred when there was an unexpected response to underlying occult disease (n = 4: aortic stenosis in 1, cerebral arteriovenous malformation in 1, hypertrophic obstructive cardiomyopathy in 1, coronary atherosclerosis in 1) or to preex!
isting known disease (n = 2: surgically corrected transposition of the great vessels in 1, asthma in 1). The fatal episodes often resulted from a complex interplay of a variety of factors, including physical exertion, possible trauma, and underlying organic disease. Testing of other family members may be indicated in cases where a rare, possibly familial, disease is found. Evaluation of cases required descriptions of activities before death, information from the medical history of the deceased, and detailed findings from the autopsy.
Citation <8>
Unique Identifier
12604991
Authors
Fornes P. Lecomte D.
Institution
Institute of Forensic Medicine of Paris, and Department of Forensic Sciences, Medical School Cochin Port-Royal, University of Paris, Paris, France.
Title
Pathology of sudden death during recreational sports activity: an autopsy study of 31 cases.[see comment].
Comments
Comment in: Am J Forensic Med Pathol. 2003 Sep;24(3):309; PMID: 12960672
Source
American Journal of Forensic Medicine & Pathology. 24(1):9-16, 2003 Mar.
Abstract
A growing number of people are involved in recreational physical activity. It is therefore not uncommon for a medical examiner to encounter sports-related sudden deaths and to be faced with the legal implications. The authors examined the clinical and cardiac pathologic patterns in 31 persons who died suddenly during sports activities and underwent autopsy at the Institute of Forensic Medicine of Paris between 1991 and 2001. Twenty-nine male subjects, ranging in age from 7 to 57 years (mean 30 years) and two female subjects, 8 and 60 years old, died suddenly during sports activities. The sports involved were various, with running the most frequent: 13 cases. Cardiomyopathies (10 cases) and coronary artery disease (9 cases) were the most frequent causes of deaths. Despite the severity of lesions, only 4 subjects had a known cardiovascular disease. In conclusion, with regard to prevention, efforts should be continued to improve the sensitivity and specificity of diagnostic too!
ls and screening strategies. In this regard, medicolegal autopsies should be systematically performed in cases of sudden death during sports activities, because they provide accurate and useful information for a better knowledge of sports-related mortality.
Citation <9>
Unique Identifier
12960672
Authors
Koehler SA. Ladham S. Shakir A. Wecht CH.
Title
Pathology of sudden death during recreational sports activity.[comment].
Comments
Comment on: Am J Forensic Med Pathol. 2003 Mar;24(1):9-16; PMID: 12604991
Source
American Journal of Forensic Medicine & Pathology. 24(3):309, 2003 Sep.
Citation <10>
Unique Identifier
9934429
Authors
Basilico FC.
Institution
Center for Sports Cardiology, New England Baptist Hospital, Boston, Massachusetts, USA.
Title
Cardiovascular disease in athletes. [Review] [70 refs]
Source
American Journal of Sports Medicine. 27(1):108-21, 1999 Jan-Feb.
Abstract
As a physician, coach, or trainer, we see athletes as healthy, physically fit, and able to tolerate extremes of physical endurance. It seems improbable that such athletes may have, on occasion, underlying life-threatening cardiovascular abnormalities. Regular physical activity promulgates cardiovascular fitness and lowers the risk of cardiac disease. However, under intense physical exertion and with a substrate of significant cardiac disease--whether congenital or acquired--athletes may succumb to sudden cardiac death. The deaths of high-profile athletes receive much attention through the national news media, but there are also deaths of other athletes. With repetitive, intense physical exercise, the heart undergoes functional and morphologic changes. Knowledge of those changes may help one identify cardiovascular abnormalities that can cause sudden death from the heart known as an "athlete's heart." This article will review cardiovascular diseases that may limit an athlete'!
s participation in sports and that may put an athlete at risk for sudden cardiac death. It also reviews the extent and limitations of the cardiovascular preparticipation screening examination. Team physicians, coaches, and trainers must understand the process of evaluation of a symptomatic athlete that may indicate significant cardiac abnormalities. Finally, guidelines to determine eligibility of athletes with cardiovascular disease to return to sports will be reviewed. [References: 70]
Citation <11>
Unique Identifier
11304649
Authors
Somberg JC.
Institution
Rush-Presbyterian-St. Luke's Medical Center, Rush University, Chicago, IL, USA.
Title
Sudden death in athletes.
Source
American Journal of Therapeutics. 7(6):399-403, 2000 Nov.
Citation <12>
Unique Identifier
10223306
Authors
Larsson E. Wesslen L. Lindquist O. Baandrup U. Eriksson L. Olsen E. Rolf C. Friman G.
Institution
Department of Pathology, Uppsala University, Uppsala Hospital, Sweden.
Title
Sudden unexpected cardiac deaths among young Swedish orienteers--morphological changes in hearts and other organs.
Source
APMIS. 107(3):325-36, 1999 Mar.
Abstract
During the years 1979-1992 an accumulation of sudden unexpected cardiac deaths (SUD) occurred among young Swedish orienteers. A reevaluation of material saved from 16 autopsies was undertaken. Myocarditis was most frequent. It was found in different stages in the majority of cases, indicating subacute or chronic disease with ongoing reparative processes. There were severe morphological changes in all cases. All but one showed a picture of fibrosis and unspecific hypertrophy and/or degenerative changes in myocytes. The hearts were classified into three groups (A-C), based on the morphological picture of the retrieved heart tissue and the macroscopic description. Group A comprised five cases in which areas with active myocarditis combined with areas of healing or healed myocarditis widely distributed in the left ventricle were the only morphological changes found. Group B comprised four cases demonstrating foci of myocarditis in different stages in the left ventricle and chang!
es resembling those found in arrhythmogenic right ventricular dysplasia (ARVD), including degenerative changes with fibrosis and fatty infiltration located in either ventricle. Group C comprised the remaining seven cases. In none of the cases were coronary artery or valvular anomalies present, nor significant coronary sclerosis or changes outside the heart that could cause SUD.
Citation <13>
Unique Identifier
9183244
Authors
Siegel AJ.
Title
Relative risk of sudden cardiac death during marathon running.[comment].
Comments
Comment on: Arch Intern Med. 1996 Nov 11;156(20):2297-302; PMID: 8911236
Source
Archives of Internal Medicine. 157(11):1269-70, 1997 Jun 9.
Citation <14>
Unique Identifier
10463922
Authors
Luke LC.
Title
Having advanced resuscitation facilities at end of marathons does not guarantee survival.[comment].
Comments
Comment on: BMJ. 1999 May 8;318(7193):1285-6; PMID: 10231271
Source
BMJ. 319(7209):581, 1999 Aug 28.
Citation <15>
Unique Identifier
9429003
Authors
Sharma S. Whyte G. McKenna WJ.
Institution
Department of Cardiovascular Sciences, St George's Hospital Medical School, London, United Kingdom.
Title
Sudden death from cardiovascular disease in young athletes: fact or fiction?. [Review] [86 refs]
Source
British Journal of Sports Medicine. 31(4):269-76, 1997 Dec.
Citation <16>
Unique Identifier
10786871
Authors
Pedoe DT.
Institution
Cardiac Department, St Bartholomew's Hospital, London, United Kingdom.
Title
Sudden cardiac death in sport--spectre or preventable risk?.
Source
British Journal of Sports Medicine. 34(2):137-40, 2000 Apr.
Citation <17>
Unique Identifier
10953896
Authors
Quigley F.
Institution
Oakacre, Ballineen, Co, Cork, Ireland.
Title
A survey of the causes of sudden death in sport in the Republic of Ireland.
Source
British Journal of Sports Medicine. 34(4):258-61, 2000 Aug.
Abstract
BACKGROUND: Sudden death in sport is rare, but when it occurs the effects are devastating. There have not been any reports to date describing the frequency and causes of sudden death in sport in the Republic of Ireland. AIM: To describe the incidence, possible causes, associated factors, and pathological findings in people who died while exercising in the Republic of Ireland in the 10 year period from January 1987 to December 1996. METHODS: All 49 regional coroners in the Republic of Ireland were approached and details on all cases of sudden death in sport from 1 January 1987 to 31 December 1996 were requested. A questionnaire was used to document age, sex, participating sport, previous symptoms, previous medical investigations, circumstances of death, and main pathological finding in all reported cases. RESULTS: Of the 49 coroners surveyed, 45 replied. A total of 51 cases of sudden death in sport were identified. The median age was 48 (range 15-78). Fifty of the deaths were!
of men. Golf was the most popular participating sport. In 42 cases, the pathological cause of death was atherosclerotic coronary artery disease. CONCLUSIONS: This is the first time the incidence of sudden death in sport in the Republic of Ireland has been described. The main cause of death in all age groups was atherosclerotic coronary artery disease.
Citation <18>
Unique Identifier
12547737
Authors
Pigozzi F. Spataro A. Fagnani F. Maffulli N.
Institution
Sports Medicine Unit, University Institute of Movement Sciences (IUSM), Plazza Lauro de Bosis, 6-00194 Rome, Italy.
Title
Preparticipation screening for the detection of cardiovascular abnormalities that may cause sudden death in competitive athletes.
Source
British Journal of Sports Medicine. 37(1):4-5, 2003 Feb.
Citation <19>
Unique Identifier
11984027
Authors
Maron BJ.
Institution
Cardiovascular Research Division, Minneapolis Heart Institute Foundation, Minneapolis, MN 55407, USA.
Title
The young competitive athlete with cardiovascular abnormalities: causes of sudden death, detection by preparticipation screening, and standards for disqualification. [Review] [24 refs]
Source
Cardiac Electrophysiology Review. 6(1-2):100-3, 2002 Feb.
Citation <20>
Unique Identifier
12497946
Authors
Thiene G. Basso C. Corrado D.
Institution
Istituto di Anatomia Patologica Universita degli Studi Via A Gabelli, 61, 35121 Padova.
Title
Sudden death in the young and in the athlete: causes, mechanisms and prevention. [Review] [42 refs]
Source
Cardiologia. 44 Suppl 1(Pt 1):415-21, 1999 Dec.
Citation <21>
Unique Identifier
8724552
Authors
Maron BJ.
Institution
Cardiovascular Research Division, Minneapolis Heart Institute Foundation, Minnesota, USA.
Title
Triggers for sudden cardiac death in the athlete. [Review] [97 refs]
Source
Cardiology Clinics. 14(2):195-210, 1996 May.
Abstract
Sudden death on the athletic field is usually due to underlying cardiovascular disease. Coronary artery disease is most common in older athletes, and a variety of congenital cardiovascular malformations predominate in young competitive athletes. Of these lesions, the most common in North America is hypertrophic cardiomyopathy. A variety of coronary artery anomalies are next in frequency, with the most important being anomalous origin of left main coronary artery from the anterior sinus of Valsalva. [References: 97]
Citation <22>
Unique Identifier
9276171
Authors
Lewis JF.
Institution
Department of Medicine, University of Florida Health Science Center, Gainesville, USA.
Title
Considerations for racial differences in the athlete's heart and related cardiovascular disease. [Review] [64 refs]
Source
Cardiology Clinics. 15(3):485-91, 1997 Aug.
Abstract
Athletic training is often associated with modest increases in left ventricular chamber size, wall thickness, and mass, which appear to be related to the level and intensity of training as well as the type of activity performed. It appears that for given levels and types of training, some individuals show more marked morphologic changes. It has been speculated that the cardiac alterations that occur with athletic conditioning may be due, in part, to genetic factors that exist independent of training. Related to this issue is the possibility that racial (or biologic) differences in cardiac response to exercise may also exist. This article reviews the available data that address racial differences in the cardiac response to exercise and to left ventricular pressure overload and the implications of these findings. [References: 64]
Citation <23>
Unique Identifier
9276170
Authors
Maron BJ.
Institution
Cardiovascular Research Division, Minneapolis Heart Institute Foundation, Minnesota, USA.
Title
Risk profiles and cardiovascular preparticipation screening of competitive athletes. [Review] [75 refs]
Source
Cardiology Clinics. 15(3):473-83, 1997 Aug.
Abstract
There has been heightened interest in the design and role of preparticipation screening for high school and college athletes. An American Heart Association consensus panel, composed of cardiovascular specialists and other physician experts having extensive clinical experience with athletes of all ages as well as a legal expert, assessed the benefits and limitations of preparticipation screening for early detection of cardiovascular abnormalities in competitive athletes. The panel addressed cost-efficiency and feasibility issues as well as the medicolegal implications of screening; and developed consensus recommendations and guidelines for the most prudent, practical, and effective screening procedures and strategies. [References: 75]