Sudden death during exercise

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Although death during exercise is rare, vigorous physical activity is associated with increased risk for fatality, particularly in individuals with overt cardiac disease or a high coronary risk profile. The mechanism of death is usually a lethal ventricular arrhythmia, but this may vary depending on the underlying cardiac condition. Cardiac disease is present in the great majority of individuals who die during exercise. In young persons, hypertrophic cardiomyopathy and congenital coronary anomalies are most frequent, whereas older victims usually have coronary artery atherosclerosis. Cardiac disease is typically unrecognized before the fatal event in young individuals; in the older group, most have overt coronary disease or identifiable risk factors. Screening asymptomatic subjects to identify increased cardiac risk during exercise is problematical in terms of logistics, expense and accuracy. However, careful evaluation, including exercise testing, is mandatory before a program of increased physical activity is initiated in cardiac patients. For other individuals, firm guidelines are lacking, and the extent of the evaluation must be determined on an individual basis.

Original languageEnglish (US)
Pages (from-to)411-417
Number of pages7
JournalCardiology
Volume77
Issue number5
StatePublished - 1990

Fingerprint

Sudden Death
Exercise
Heart Diseases
Mandatory Testing
Hypertrophic Cardiomyopathy
Coronary Disease
Cardiac Arrhythmias
Coronary Artery Disease
Coronary Vessels
Guidelines

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Sudden death during exercise. / Amsterdam, Ezra A.

In: Cardiology, Vol. 77, No. 5, 1990, p. 411-417.

Research output: Contribution to journalArticle

Amsterdam, EA 1990, 'Sudden death during exercise', Cardiology, vol. 77, no. 5, pp. 411-417.
Amsterdam, Ezra A. / Sudden death during exercise. In: Cardiology. 1990 ; Vol. 77, No. 5. pp. 411-417.
@article{e99647a8ba094497aa54c8512d1bd9ac,
title = "Sudden death during exercise",
abstract = "Although death during exercise is rare, vigorous physical activity is associated with increased risk for fatality, particularly in individuals with overt cardiac disease or a high coronary risk profile. The mechanism of death is usually a lethal ventricular arrhythmia, but this may vary depending on the underlying cardiac condition. Cardiac disease is present in the great majority of individuals who die during exercise. In young persons, hypertrophic cardiomyopathy and congenital coronary anomalies are most frequent, whereas older victims usually have coronary artery atherosclerosis. Cardiac disease is typically unrecognized before the fatal event in young individuals; in the older group, most have overt coronary disease or identifiable risk factors. Screening asymptomatic subjects to identify increased cardiac risk during exercise is problematical in terms of logistics, expense and accuracy. However, careful evaluation, including exercise testing, is mandatory before a program of increased physical activity is initiated in cardiac patients. For other individuals, firm guidelines are lacking, and the extent of the evaluation must be determined on an individual basis.",
author = "Amsterdam, {Ezra A}",
year = "1990",
language = "English (US)",
volume = "77",
pages = "411--417",
journal = "Cardiology",
issn = "0008-6312",
publisher = "S. Karger AG",
number = "5",

}

TY - JOUR

T1 - Sudden death during exercise

AU - Amsterdam, Ezra A

PY - 1990

Y1 - 1990

N2 - Although death during exercise is rare, vigorous physical activity is associated with increased risk for fatality, particularly in individuals with overt cardiac disease or a high coronary risk profile. The mechanism of death is usually a lethal ventricular arrhythmia, but this may vary depending on the underlying cardiac condition. Cardiac disease is present in the great majority of individuals who die during exercise. In young persons, hypertrophic cardiomyopathy and congenital coronary anomalies are most frequent, whereas older victims usually have coronary artery atherosclerosis. Cardiac disease is typically unrecognized before the fatal event in young individuals; in the older group, most have overt coronary disease or identifiable risk factors. Screening asymptomatic subjects to identify increased cardiac risk during exercise is problematical in terms of logistics, expense and accuracy. However, careful evaluation, including exercise testing, is mandatory before a program of increased physical activity is initiated in cardiac patients. For other individuals, firm guidelines are lacking, and the extent of the evaluation must be determined on an individual basis.

AB - Although death during exercise is rare, vigorous physical activity is associated with increased risk for fatality, particularly in individuals with overt cardiac disease or a high coronary risk profile. The mechanism of death is usually a lethal ventricular arrhythmia, but this may vary depending on the underlying cardiac condition. Cardiac disease is present in the great majority of individuals who die during exercise. In young persons, hypertrophic cardiomyopathy and congenital coronary anomalies are most frequent, whereas older victims usually have coronary artery atherosclerosis. Cardiac disease is typically unrecognized before the fatal event in young individuals; in the older group, most have overt coronary disease or identifiable risk factors. Screening asymptomatic subjects to identify increased cardiac risk during exercise is problematical in terms of logistics, expense and accuracy. However, careful evaluation, including exercise testing, is mandatory before a program of increased physical activity is initiated in cardiac patients. For other individuals, firm guidelines are lacking, and the extent of the evaluation must be determined on an individual basis.

UR - http://www.scopus.com/inward/record.url?scp=0025630025&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025630025&partnerID=8YFLogxK

M3 - Article

C2 - 2073659

AN - SCOPUS:0025630025

VL - 77

SP - 411

EP - 417

JO - Cardiology

JF - Cardiology

SN - 0008-6312

IS - 5

ER -