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Gefahren im Sport: Der plötzliche Herztod

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Sportkardiologie

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Zusammenfassung

Nach der aktuellen Studienlage liegt die Häufigkeit des plötzlichen Herztods (PHT) beim Sport in Abhängigkeit von Alter, Geschlecht und Sportart zwischen 0,5 und 13 Betroffenen pro 100.000 Sportler und Jahr. Bei jungen Sportlern unter 35 Jahren dominieren in über zwei Drittel der Fälle angeborene kardiale Erkrankungen als Ursache. Am häufigsten ist dabei die hypertrophe Kardiomyopathie, gefolgt von Koronaranomalien, Ionenkanalerkrankungen und der Myokarditis. Bei älteren Athleten dominiert demgegenüber die im Rahmen einer Atherosklerose auftretende koronare Herzerkrankung als Ursache. Erste Befunde weisen darauf hin, dass sportmedizinische Vorsorgeuntersuchungen bei der Prävention des PHT beim Sport einen wichtigen Stellenwert besitzen.

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Literatur

  1. Albert CM, Mittleman MA, Chae CU, Lee IM, Hennekens CH, Manson JE (2000) Triggering of sudden death from cardiac causes by vigorous exertion. N Engl J Med 343:1355–61

    Article  CAS  PubMed  Google Scholar 

  2. Angelini P (2007) Coronary artery anomalies: an entity in search of an identity. Circulation 115:1296–305

    PubMed  Google Scholar 

  3. Burke AP, Farb A, Malcom GT, Liang Y, Smialek JE, Virmani R (1999) Plaque rupture and sudden death related to exertion in men with coronary artery disease. JAMA 281:921–6

    Article  CAS  PubMed  Google Scholar 

  4. Chandra N, Bastiaenen R, Papadakis M, Sharma S (2013) Sudden cardiac death in young athletes: practical challenges and diagnostic dilemmas. J Am Coll Cardiol 61:1027–40

    Article  PubMed  Google Scholar 

  5. Corrado D, Basso C, Rizzoli G, Schiavon M, Thiene G (2003) Does sports activity enhance the risk of sudden death in adolescents and young adults? J Am Coll Cardiol 42:1959–63

    Article  PubMed  Google Scholar 

  6. Corrado D, Basso C, Pavei A, Michieli P, Schiavon M, Thiene G (2006) Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA 296:1593–601

    Article  CAS  PubMed  Google Scholar 

  7. Deligiannis A, Björnstad H, Carre F, Heidbüchel H, Kouidi E, Panhuyzen-Goedkoop NM, Pigozzi F, Schänzer W, Vanhees L (2006) ESC Study Group of Sports Cardiology: ESC study group of sports cardiology position paper on adverse cardiovascular effects of doping in athletes. Eur J Cardiovasc Prev Rehabil 13:687–694

    Article  PubMed  Google Scholar 

  8. Drezner JA, Toresdahl BG, Rao AL, Huszti E, Harmon KG (2013) Outcomes from sudden cardiac arrest in US high schools: a 2-year prospective study from the National Registry for AED Use in Sports. Br J Sports Med 47:1179–83

    Article  PubMed  Google Scholar 

  9. Elliott PM, Sharma S, Varnava A, Poloniecki J, Rowland E, McKenna WJ (1999) Survival after cardiac arrest or sustained ventricular tachycardia in patients with hypertrophic cardiomyopathy. J Am Coll Cardiol 33:1596–601

    Article  CAS  PubMed  Google Scholar 

  10. Ganga HV, Thompson PD (2013) Sports participation in non-compaction cardiomyopathy: a systematic review. Br J Sports Med [Epub ahead of print]

    Google Scholar 

  11. Harmon KG, Asif IM, Klossner D, Drezner JA (2011) Incidence of sudden cardiac death in National Collegiate Athletic Association athletes. Circulation 123:1594–600

    Article  PubMed  Google Scholar 

  12. Kim JH, Malhotra R, Chiampas G, d’Hemecourt P, Troyanos C, Cianca J, Smith RN, Wang TJ, Roberts WO, Thompson PD, Baggish AL (2012) Race Associated Cardiac Arrest Event Registry (RACER) Study Group. Cardiac arrest during long-distance running races. N Engl J Med 366:130–40

    Article  CAS  PubMed  Google Scholar 

  13. Kindermann I, Barth C, Mahfoud F, Ukena C, Lenski M, Yilmaz A, Klingel K, Kandolf R, Sechtem U, Cooper LT, Böhm M (2012) Update on myocarditis. J Am Coll Cardiol 59:779–92

    Article  PubMed  Google Scholar 

  14. Maron BJ, Shirani J, Poliac LC, Mathenge R, Roberts WC, Mueller FO (1996a) Sudden death in young competitive athletes. Clinical, demographic, and pathological profiles. JAMA 276:199–204

    Article  CAS  PubMed  Google Scholar 

  15. Maron BJ, Poliac LC, Roberts WO (1996b) Risk for sudden cardiac death associated with marathon running. J Am Coll Cardiol 28: 428–31

    Article  CAS  PubMed  Google Scholar 

  16. Maron BJ (2003) Sudden death in young athletes. N Engl J Med 349:1064–75

    Article  CAS  PubMed  Google Scholar 

  17. Maron BJ, Pelliccia A (2006) The heart of trained athletes: cardiac remodeling and the risks of sports, including sudden death. Circulation 114:1633–44

    Article  PubMed  Google Scholar 

  18. Maron BJ, Doerer JJ, Haas TS, Tierney DM, Mueller FO (2009) Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980-2006. Circulation 119:1085–92

    Article  PubMed  Google Scholar 

  19. Maron BJ, Haas TS, Ahluwalia A, Rutten-Ramos SC (2013) Incidence of cardiovascular sudden deaths in Minnesota high school athletes. Heart Rhythm 10:374–7

    Article  PubMed  Google Scholar 

  20. Mittleman MA, Siscovick DS (1996) Physical exertion as a trigger of myocardial infarction and sudden cardiac death. Cardiol Clin 14:263–70

    Article  CAS  PubMed  Google Scholar 

  21. Montisci M, El Mazloum R, Cecchetto G, Terranova C, Ferrara SD, Thiene G, Basso C (2012) Anabolic andreogenic steroids abuse and cardiac death in athletes: morphological and toxicological findings in four fatal cases. Forensic Sci Int 217:e13–e18

    Article  CAS  PubMed  Google Scholar 

  22. Myerburg RJ, Castellanos A (1997) Cardiac arrest and sudden cardiac death. In: Braunwald E (ed) Heart disease: a textbook of cardiovascular medicine. New York: WB Saunders Publishing Co, New York, S 742–79

    Google Scholar 

  23. Northcote RJ, Flannigan C, Ballantyne D (1986) Sudden death and vigorous exercise–a study of 60 deaths associated with squash. Br Heart J 55:198–203

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Pedoe DT (2000) Sudden cardiac death in sport–spectre or preventable risk? Br J Sports Med 34:137–40

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Rai M, Thompson PD (2011) The definition of exertionrelated cardiac events. Br J Sports Med 45:130–1

    Article  CAS  PubMed  Google Scholar 

  26. Redelmeier DA, Greenwald JA (2007) Competing risks of mortality with marathons: retrospective analysis. BMJ 335:1275–7

    Article  PubMed  PubMed Central  Google Scholar 

  27. Roberts WO, Maron BJ (2005) Evidence for decreasing occurrence of sudden cardiac death associated with the marathon. J Am Coll Cardiol 46:1373–4

    Article  PubMed  Google Scholar 

  28. Roberts WO, Stovitz SD (2013) Incidence of sudden cardiac death in Minnesota high school athletes 1993- 2012 screened with a standardized pre-participation evaluation. J Am Coll Cardiol 62:1298–301

    Article  PubMed  Google Scholar 

  29. Schmied C, Drezner J, Kramer E, Dvorak J (2013) Cardiac events in football and strategies for first-responder treatment on the field. Br J Sports Med 47:1175–8

    Article  PubMed  Google Scholar 

  30. Sharma S, Whyte G, McKenna WJ (1997) Sudden death from cardiovascular disease in young athletes: fact or fiction? Br J Sports Med 31:269–76

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Thompson PD, Funk EJ, Carleton RA, Sturner WQ (1982) Incidence of death during jogging in Rhode Island from 1975 through 1980. JAMA 247:2535–8

    Article  CAS  PubMed  Google Scholar 

  32. Urhausen A, Scharhag J, Kindermann W (2007) Plötzlicher Herztod beim Sport und kardiovaskuläres Screening. In: Kindermann W, Dickhuth H-H, Niess A, Röcker K, Urhausen A (ed) Sportkardiologie, 2. überarbeitete Auflage. Steinkopff, Darmstadt, S. 21–38

    Google Scholar 

  33. van Camp SP, Bloor CM, Mueller FO, Cantu RC, Olson HG (1995) Nontraumatic sports death in high school and college athletes. Med Sci Sports Exerc 27:641–7

    Article  CAS  PubMed  Google Scholar 

  34. Webner D, DuPrey KM, Drezner JA, Cronholm P, Roberts WO (2012) Sudden cardiac arrest and death in United States marathons. Med Sci Sports Exerc 44:1843–5

    Article  PubMed  Google Scholar 

  35. Whittington RM, Banerjee A (1994) Sport-related sudden natural death in the City of Birmingham. J R Soc Med 87:18–21

    CAS  PubMed  PubMed Central  Google Scholar 

  36. Zheng ZJ, Croft JB, Giles WH, Mensah GA (2001) Sudden cardiac death in the United States, 1989 to 1998. Circulation 104:2158–63

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Universitätsklinikum Tübingen Sportmedizin, Hoppe-Seyler-Straße 6, 72076, Tübingen, Deutschland

    Prof. Dr. Andreas Nieß (Ärztlicher Direktor)

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  1. Prof. Dr. Andreas Nieß
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Editors and Affiliations

  1. FA Innere Medizin, Kardiologie, Sportmedizin Universitätsinstitut für präventive und rehabilitative Sportmedizin Forschungsinstitut für molekulare Sport- und Rehabilitationsmedizin Paracelsus Medizinische Privatuniversität Salzburg Institut für Sportmedizin des Landes Salzburg Sportmedizin, Olympiazentrums Salzburg-Rif, 5020, Salzburg, Österreich

    Josef Niebauer

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Nieß, A. (2015). Gefahren im Sport: Der plötzliche Herztod. In: Niebauer, J. (eds) Sportkardiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43711-7_7

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  • DOI: https://doi.org/10.1007/978-3-662-43711-7_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-43710-0

  • Online ISBN: 978-3-662-43711-7

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