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  • Title: [Sudden heart death in a long distance runner during a marathon].
    Author: Schuchert A, Püschel K, Kupper W, Schäfer H, Bleifeld W.
    Journal: Z Kardiol; 1989 Apr; 78(4):276-80. PubMed ID: 2735089.
    Abstract:
    Sudden cardiac death during running is mainly caused by an acute myocardial infarction and coronary artery disease. Other diseases like myocarditis are rarely documented. Before a marathon a 37-year-old, well-trained long-distance runner had normal findings at a sports medical consultation. During the race he collapsed after 41 km and died despite of immediate resuscitation attempts. At autopsy a 50% stenosis of the descending branch of the left coronary artery, and histologically an active myocarditis were observed (Dallas-classification). The endured extreme stress of the marathon probably resulted in arrhythmias and in sudden cardiac death.
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