Preventing Sudden Death in tough competitions

Written by: José Luis Palma Gámiz
Edited by: Top Doctors®

The specialists in cardiology tell our patients that exercise and sport is highly recommended to have a good cardiovascular health and metabolic. It may be, however, that not we stop defining what sport is the most suitable for each person depending on their age, their health and their physical conditions.

The high - performance sports competitions are becoming more numerous and popular. The problem is that many of the participants do not prepare well, while others are unaware of their status of cardiovascular health.

We have the case of two participants from 45 and 57 years who have died during a marathon held in a town of Valencia.

risk triatlon

Risks triathlon

Researchers at the Minneapolis Heart Institute (USA) analyzed cardiovascular events that occurred during practice triathlon competitions type (a combination of swimming, cycling and running). He was held for 15 years, from 1999 to 2014 and found that 109 athletes with an average age of 47 years had died during this competition.

90% of the dead were men. In addition, 12 other triathletes suffered cardiocirculatory stops during the test, but fortunately could be resuscitated by emergency medical services.

Much of the deaths occurred during swimming and cycling. On the other hand, almost half of the competitors died during triathlons called "short", which is the most common of those starting out in this type of competition mode.

In the autopsies confirmed that more than half of the deaths occurred as a result of coronary disease in most of the deceased had not been tested before clinical symptoms.

Other common diseases in these cases are mitral valve prolapse, hypertrophic cardiomyopathy, Brugada syndrome and arrhythmogenic ventricular dysplasia, with an unfavorable genetic load.


Medical certificate

In Spain they die annually around 127 athletes during sports or immediately after. For this reason, it is necessary and mandatory health authorities require that participants with a medical certificate attesting to the good aptitude of the participant, at least in high performance competitions.

Thus, it is undeniable necesitad to examine before such tests cardiovascular health of participants through reliable diagnostic techniques among which should include an electrocardiogram and stress echocardiogram doppler.

*Translated with Google translator. We apologize for any imperfection

By José Luis Palma Gámiz

Dr. Palma Gámiz reference is a cardiologist with extensive experience in hypertension, coronary heart disease, stroke, angina and other heart-related diseases. Throughout his long career he has been, among other positions, Clinical Chief of Cardiology at the Ramon y Cajal Hospital in Madrid, President of the Hypertension Section of the SEC and current Vice-President of the Spanish Heart Foundation. His background It includes long stays abroad that have placed him as one of the most important specialists in their field. throughout his career, he has actively concerned about the disclosure of their work and the scientific knowledge of heart disease. He has written over a dozen books in the field and authored or coauthored more than a hundred scientific papers. He has lectured at numerous national and international scientific forums. Currently, it offers all its expertise and services to patients in the Basel Clinic in Madrid where he is director of the Unit of Cardiology and Regenerative Medicine.

*Translated with Google translator. We apologize for any imperfection

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