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Sudden death in athletes is a global problem. Although it is a relatively rare phenomenon (1/100,000 persons), when it does occur, it is often as an incomprehensible event. In fact, it strikes subjects who presumably should be much healthier than the general population. In the previous 20 years, many authors have studied this problem in an attempt to understand the causes and prevent these events, and it has been determined that, in the vast majority of cases, athletes who die suddenly have an underlying heart disease (arrhythmogenic cardiomyopathy, hypertrophic cardiomyopathy, coronary anomalies, channelopathies, etc.).In most cases these diseases do not produce major symptoms and do not preclude sports activity even at the highest levels, although they do increase the incidence of sudden death. How to discover these diseases in asymptomatic athletes is a hotly debated issue. In particular, there is controversy as to whether all athletes should undergo detailed medical screening, including electrocardiogram, or whether the costs of this screening are too high in relation to the event incidence.
The purpose of this book is to accurately analyze the causes of sudden death in athletes and to provide cardiologists and sports physicians with useful tips on how to identify at-risk individuals.
List of contents
1 Athlets's heart: anatomical and functional adaptations in the normal population. 2 Sudden death in the athletes: role of autopsy.- 3 Electrocardiographic physiological, borderline and pthologic alterations in athlete's heart.- 4 Benign arrhythmias in athletes.- 5 Usefulness of Italian model of pre-partecipation screening for prevention of sudden death in athletes.- 6 Hypertrophic cardiomiopathy and left ventricular non compaction.- 7 Arrhythmogenic cardiomiopathy.- 8 Acute and chronic myocarditis.- 9 Congenital and acquired anomalies of coronary arteries.- 10 Interpretation and diagnostic work-up of premature ventricular beats.- 11 Long QT syndrome.- 12 Short QT syndrome.- 13 J wave syndromes: Brugada Syndrome and early repolarization.- 14 Cathecolaminergic ventricular tachycardia and idiopathic ventricular fibrillation. - 15 Sport activity in subjects with implantable defibrillator.
About the author
Pietro Delise is a cardiologist and an expert on Sport Cardiology. A Past President of the Italian Society of Sport Cardiology (SIC Sport), he is currently Director of the official journal of SIC Sport: Journal of Sport Cardiology. He has published over 200 articles in Italian and international journals, and has authored ten books on arrhythmias, ablation, and sudden death in athletes. He was the first in Italy (February 1990) to perform trancatheter ablation surgery with radiofrequency of the abnormal route in the WPW. Since 1990 he has performed over 1500 ablative sessions in various types of arrhythmias.
Paolo Zeppilli is an expert on Cardiology and Sports Medicine. His work mainly focuses on athlete's heart and cardiovascular diseases (valvulopathies, cardiomyopathies) responsible for sudden death in young athletes, particularly in the field of congenital coronary anomalies. He was a Founder Member and Past President of the Italian Society of Sport Cardiology (SIC Sport). He was Full Professor of Methods and Didactics of Motor Activities (Sports Medicine) and Chief of Post-graduate School of Sports Medicine for two decades at the Catholic University of Rome.
Summary
Sudden death in athletes is a global problem. Although it is a relatively rare phenomenon (1/100,000 persons), when it does occur, it is often as an incomprehensible event. In fact, it strikes subjects who presumably should be much healthier than the general population. In the previous 20 years, many authors have studied this problem in an attempt to understand the causes and prevent these events, and it has been determined that, in the vast majority of cases, athletes who die suddenly have an underlying heart disease (arrhythmogenic cardiomyopathy, hypertrophic cardiomyopathy, coronary anomalies, channelopathies, etc.).In most cases these diseases do not produce major symptoms and do not preclude sports activity even at the highest levels, although they do increase the incidence of sudden death. How to discover these diseases in asymptomatic athletes is a hotly debated issue. In particular, there is controversy as to whether all athletes should undergo detailed medical screening, including electrocardiogram, or whether the costs of this screening are too high in relation to the event incidence.
The purpose of this book is to accurately analyze the causes of sudden death in athletes and to provide cardiologists and sports physicians with useful tips on how to identify at-risk individuals.
