Sudden cardiac death in young athletes is primarily caused by cardiomyopathies, ion channelopathies, and coronary artery anomalies, with recent guidelines adopting a shared decision-making approach.
A diagnosis of cardiac disease in a young athlete requires careful risk assessment and shared decision-making rather than automatic disqualification from sports.
Athletes epitomize the healthiest segment of society. Despite this premise, sudden cardiac death may occur in apparently healthy athletes, attracting significant attention not only in the medical community but also in laypersons and media. The incidence of sudden cardiac death is variably reported, and epidemiological burden differs among cohorts. Athletes appear to be at risk of developing fatal arrhythmias when harboring a quiescent cardiac disorder. Primary cardiomyopathies, ion channelopathies, and coronary artery anomalies are prevalent causes in young individuals. Cardiac assessment of athletes can be challenging because these individuals exhibit a plethora of electrical, structural, and functional physiological changes that overlap with cardiac pathology. A diagnosis of cardiac disease in a young athlete is not necessarily an indication to terminate competition and sports participation. International guidelines, traditionally focused on disqualification of individuals with cardiac disease, have recently adopted a more liberal attitude, based on a careful assessment of the risk and on a shared-decision making approach.
“Exercise prescription in young individuals with potentially serious cardiac diseases should embrace shared decision-making whilst acknowledging knowledge gaps in this setting.”
Finocchiaro et al. (Mon,) conducted a review in Sudden cardiac death in young athletes. Sudden cardiac death in young athletes is primarily caused by cardiomyopathies, ion channelopathies, and coronary artery anomalies, with recent guidelines adopting a shared decision-making approach.