Screening for hypertrophic cardiomyopathy in young athletes.
Background For more than 20 years in Italy, young athletes have been screened before participating in competitive sports.
We assessed whether this strategy results in the prevention of sudden death from hypertrophic cardiomyopathy, a common cardiovascular cause of death in young athletes.
Methods We prospectively studied sudden deaths among athletes and nonathletes (35 years of age or less) in the Veneto region of Italy from 1979 to 1996.
The causes of sudden death in both populations were compared, and the pathological findings in the athletes were related to their clinical histories and electrocardiograms.
Cardiovascular reasons for disqualification from participation in sports were investigated and follow-up was performed in a consecutive series of 33,735 young athletes who underwent preparticipation screening in Padua, Italy, during the same period.
Results Of 269 sudden deaths in young people, 49 occurred in competitive athletes (44 male and 5 female athletes ; mean [±SD] age, 23±7 years).
The most common causes of sudden death in athletes were arrhythmogenic right ventricular cardiomyopathy (22.4 percent), coronary atherosclerosis (18.4 percent), and anomalous origin of a coronary artery (12.2 percent).
Hypertrophic cardiomyopathy caused only 1 sudden death among the athletes (2.0 percent) but caused 16 sudden deaths in the nonathletes (7.3 percent).
Hypertrophic cardiomyopathy was detected in 22 athletes (0. (...)
Mots-clés Pascal : Cardiomyopathie hypertrophique, Adulte jeune, Homme, Athlétisme, Mort subite, Complication, Incidence, Prévention, Programme sanitaire, Epidémiologie, Appareil circulatoire pathologie, Cardiopathie, Myocarde pathologie
Mots-clés Pascal anglais : Hypertrophic cardiomyopathy, Young adult, Human, Athletics, Sudden death, Complication, Incidence, Prevention, Sanitary program, Epidemiology, Cardiovascular disease, Heart disease, Myocardial disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0387686
Code Inist : 002B12A05. Création : 25/01/1999.