[citation report] Sudden Cardiac Death in the Young

Cited by 124 publications

(100 citation statements)

References 285 publications

(251 reference statements)

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“…25,26 The incidence of sudden cardiac arrest during participation in competitive sports in our analysis (0.76 cases per 100,000 athlete-years) is similar to that reported previously 3,5 and includes resuscitated persons, which thus provides a more comprehensive estimate of the incidence. By comparison, the incidence of sudden cardiac arrest in the general population of the same age group has been reported to be 4.84 cases per 100,000 person-years.…”

Section: Discussionsupporting

confidence: 87%

“…3 The instantaneous risk of sudden cardiac arrest in persons who have a predisposition to sudden cardiac arrest is markedly increased during participation in sports, even though most sudden cardiac arrests occur while the person is at rest. 4 The incidence of sudden cardiac death during participation in a sport in the general population has been reported to be approximately 0.46 cases per 100,000 person-years.…”

mentioning

confidence: 99%

“…Almost all the studies have focused on persons who could not be resuscitated (sudden cardiac deaths), and in most of the studies, death certificates, hospital records, autopsy reports, or searches of publicly available records were used to identify cases of sudden cardiac arrest. 3–10 These approaches are limited because systematic methods were not used to identify all persons in a particular community who had sudden cardiac arrest and because survivors were not included.…”

mentioning

confidence: 99%

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Sudden Cardiac Arrest during Participation in Competitive Sports

et al. 2017

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BACKGROUND The incidence of sudden cardiac arrest during participation in sports activities remains unknown. Preparticipation screening programs aimed at preventing sudden cardiac arrest during sports activities are thought to be able to identify at-risk athletes; however, the efficacy of these programs remains controversial. We sought to identify all sudden cardiac arrests that occurred during participation in sports activities within a specific region of Canada and to determine their causes. METHODS In this retrospective study, we used the Rescu Epistry cardiac arrest database (which contains records of every cardiac arrest attended by paramedics in the network region) to identify all out-of-hospital cardiac arrests that occurred from 2009 through 2014 in persons 12 to 45 years of age during participation in a sport. Cases were adjudicated as sudden cardiac arrest (i.e., having a cardiac cause) or as an event resulting from a noncardiac cause, on the basis of records from multiple sources, including ambulance call reports, autopsy reports, in-hospital data, and records of direct interviews with patients or family members. RESULTS Over the course of 18.5 million person-years of observation, 74 sudden cardiac arrests occurred during participation in a sport; of these, 16 occurred during competitive sports and 58 occurred during noncompetitive sports. The incidence of sudden cardiac arrest during competitive sports was 0.76 cases per 100,000 athlete-years, with 43.8% of the athletes surviving until they were discharged from the hospital. Among the competitive athletes, two deaths were attributed to hypertrophic cardiomyopathy and none to arrhythmogenic right ventricular cardiomyopathy. Three cases of sudden cardiac arrest that occurred during participation in competitive sports were determined to have been potentially identifiable if the athletes had undergone preparticipation screening. CONCLUSIONS In our study involving persons who had out-of-hospital cardiac arrest, the incidence of sudden cardiac arrest during participation in competitive sports was 0.76 cases per 100,000 athlete-years. The occurrence of sudden cardiac arrest due to structural heart disease was uncommon during participation in competitive sports. (Funded by the National Heart, Lung, and Blood Institute and others.)

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Section: Discussionsupporting

confidence: 87%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Sudden Cardiac Arrest during Participation in Competitive Sports

et al. 2017

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“…Furthermore, CALM1 mutations were described in a catecholaminergic polymorphic ventricular tachycardia (CPVT)-like phenotype 4 . Sudden unexplained death in the young can be the first clinical manifestation of an underlying arrhythmogenic disorder such as idiopathic VF 5, 6. After an aborted cardiac arrest, determining the diagnosis begins with a systematic clinical evaluation.…”

Section: Introductionmentioning

confidence: 99%

A novel de novo calmodulin mutation in a 6-year-old boy who experienced an aborted cardiac arrest

Takahashi¹,

Ishikawa

Makita

et al. 2017

HeartRhythm Case Reports

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“…The incidence also varies on patients' gender, age and season: 2.3-fold higher in male than in female, increased with age, and highest in October and lowest in August (3). In a recent authoritative review, Ackerman et al (9) made a summative assessment on the population-based estimates of SCD incidence in the young based on large medical centers from the world. The incidence differed depending on patient's age, hospitals and regions, but showed an overall range of 0.7-10.1 per 100,000 patient-years.…”

mentioning

confidence: 99%