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Markers and Triggers of Sudden Death in Athletes

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Arrhythmias and Sudden Death in Athletes

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 232))

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Abstract

The markers and triggers of sudden death in the general population have been well studied (1–3). In principle, they are related to the presence of a vulnerable myocardium in which some triggers or modulators may induce sudden death, generally through ventricular fibrillation (VF) (Fig. 1). Ventricular fibrillation may be triggered by a single event, as happens with a sustained ventricular tachycardia during a waterfall (Fig. 2) or by a more complex cascade of events (Fig. 3). Sometimes the final step is a bradyarrhythmia. This is relatively frequent in patients with advanced congestive heart failure (4) hut is rare in the ambulatory sudden death of patients with different types of heart disease (5) and in the acute phase of myocardial infarction (6) (Fig. 4).

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Authors and Affiliations

  1. Department of Cardiology and Cardiac Surgery, Hospital de la Santa, Creu i Sant Pau, Barcelona, Spain

    M. T. Subirana, X. Viñolas, P. Ferrés, T. Bayés-Genís, J. Guindo, T. Martínez-Rubio & A. Bayés de Luna

  2. Lipids and Cardiovascular Epidemiology Unit, Institut Municipal d’Investigació Mèdica, Barcelona, Spain

    R. Elosua

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Editors and Affiliations

  1. Institut Catala Cardiologia-Hosp., Sant Pau, Barcelona, Spain

    A. Bayés de Luna

  2. Istituto Scientifico H. S. Raffaele, Milan-Rome, Italy

    F. Furlanello

  3. Minneapolis Heart Institute Foundation, Minneapolis, Minnesota, USA

    B. J. Maron

  4. Krannert Institute of Cardiology, Indiana University School of Medicine and the Roudebush Veterans Administration Medical Center, Indianapolis, Indiana, USA

    D. P. Zipes

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Subirana, M.T. et al. (2000). Markers and Triggers of Sudden Death in Athletes. In: de Luna, A.B., Furlanello, F., Maron, B.J., Zipes, D.P. (eds) Arrhythmias and Sudden Death in Athletes. Developments in Cardiovascular Medicine, vol 232. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-0789-3_6

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