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Cardiac Pathology in Athletes: Sudden Death in Young People

Cardiac Pathology in Athletes: Sudden Death in Young People. Michael J. Lucca MD. Cardiac Pathology in Athletes: Sudden Death in Young People. Cardiac Pathology in Athletes: Sudden Death in Young People. Anatomy. ECG Intervals. Why do I need to know this stuff?.

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Cardiac Pathology in Athletes: Sudden Death in Young People

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  1. Cardiac Pathology in Athletes:Sudden Death in Young People Michael J. Lucca MD

  2. Cardiac Pathology in Athletes:Sudden Death in Young People

  3. Cardiac Pathology in Athletes:Sudden Death in Young People

  4. Anatomy

  5. ECG Intervals

  6. Why do I need to know this stuff? • You will be there when something bad happens! • You need to know what to do! • You need to have a “feel” for those athletes who may have cardiac problems! • You need to know what to do to prevent cardiac problems in athletes!

  7. What do athletes die from?

  8. What do athletes die from?

  9. What do athletes die from?

  10. How big is the problem of sudden cardiac death in athletes? • 0.3% general athlete population with a cardiac condition • Grade 9-12 – 5 million competitive athletes • NCAA, NAIA, and Jr colleges– >500,000 athletes • Professional athletes – 5000 • Excludes youth, middle school, master level athletes • May be > 10 million athletes in USA • Sudden death of 1:200,000 high school athletes per year

  11. Ethics! • Athlete/family responsibility • Educational institution or club responsibility (Coaches, trainers) • Physician responsibility • Inherently dangerous activities • “Zero risk” activities

  12. Risk Evaluation

  13. Hypertrophic Obstructive Cardiomyopathy

  14. Hypertrophic Obstructive Cardiomyopathy

  15. Hypertrophic Obstructive Cardiomyopathy

  16. Hypertrophic Obstructive Cardiomyopathy

  17. Commotio Cordis

  18. Commotio Cordis

  19. Commotio Cordis

  20. Commotio Cordis

  21. Coronary Artery anomalies

  22. Coronary Artery anomalies

  23. Coronary Artery anomalies

  24. Marfan syndrome

  25. Marfan syndrome

  26. Marfan syndrome

  27. Marfan syndrome

  28. Marfan syndrome

  29. Marfan syndrome

  30. Mitral Valve Prolapse

  31. Arrythmogenic Right Ventricular Cardiomyopathy

  32. Arrythmogenic Right Ventricular Cardiomyopathy

  33. Arrythmogenic Right Ventricular Cardiomyopathy

  34. Trauma

  35. Other causes • Heat Stroke • Asthma • Aortic stenosis • Drug abuse • Coronary artery disease • Long QT Syndrome • Other • Myocarditis

  36. Long QT syndrome

  37. Summary • Be aware of causes of sudden cardiac death in athletes and young adults • Know CPR • Know where the AED is located and know how to use it • Know how to get help quickly • BE PREPARED!

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