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  • Title: [Sudden cardiac death of rhythmic origin in athletes: literature review].
    Author: Tlili R, Ben Ameur Y, Sdiri W, Ben Romdhane R, Bachraoui K, Boujnah MR.
    Journal: Tunis Med; 2012 May; 90(5):345-50. PubMed ID: 22585639.
    Abstract:
    The sudden death in athletes is, in the vast majority of cases, related to ventricular fibrillation, often in a subject with unknown cardiovascular abnormality; this dramatic event has a significant impact on society and the medical profession. We conducted through a literature review an analysis of data on sudden cardiac death of rhythmic origin in athletes; sudden death may be cardiovascular in 95.3% of cases and related to ventricular arrhythmia in 88% cases. The main causes are: hypertrophic cardiomyopathy, congenital anomalies of coronary arteries, and arhythmogenic right ventricular dysplasia for athletes under 35 years, and atherosclerosis beyond 35 years. Prevention is based on three main areas: the medical assessment and screening for cardiovascular disease; the chain of survival; the education of the athlete and the public. All these measures should improve significantly the survival prognosis of patients suffering from these accidents.
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