Key result
Hypertrophic cardiomyopathy is a prominently documented cardiovascular cause of unexpected arrhythmic sudden death in young competitive athletes.
This commentary discusses the issues surrounding sudden death in young athletes with hypertrophic cardiomyopathy and the debate on liberalizing return-to-play eligibility.
Diverse issues surrounding the unexpected arrhythmic sudden deaths (SD) of young athletes, have been studied intensely by cardiologists, internists, pediatricians, primary care and sports medicine physicians, and pathologists since 1980, with documentation of several cardiovascular causes, prominently including hypertrophic cardiomyopathy (HCM) (Figure 1) (1).
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Maron et al. (2025) studied this question. Hypertrophic cardiomyopathy is a prominently documented cardiovascular cause of unexpected arrhythmic sudden death in young competitive athletes.
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