Emphasizes the importance of coronary risk factor reduction, symptom recognition, and CPR certification to mitigate the risks of sudden cardiac death and acute myocardial infarction during exercise in adults.
Supports preventive counseling in active adults; leaves open need for prospective outcome trials.
Sudden cardiac death and acute myocardial infarction are serious complications of exercise in adults. There is no consensus evidence that physicians can reduce the risk of such events. Coronary risk factor reduction and ensuring that patients can recognize prodromal symptoms are prudent. Preparticipation stress testing has been recommended but often does not reveal any abnormality in patients subsequently suffering an acute cardiac event. Personnel involved with sports should be able to recognize cardiac symptoms and be certified in cardiopulmonary resuscitation.
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A 2001 study studied this question.
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