ABC | Volume 111, Nº6, December 2018

Viewpoint Helal et al Sudden death in young athletes Arq Bras Cardiol. 2018; 111(6):856-859 General prevalence of SD in sports in young athletes; Prevalence of SD in sports in young athletes by sports modality, socio-demographic status and ethnicity; Annual absolute incidence of SD in sports; Annual absolute incidence of SD in sports by sports modality, socio-demographic status and ethnicity; Prevalence of possible causes of SD (e.g., necropsy report, causa mortis, etc.) with a survey of socio-demographic indicators and patient clinical history. Figure 1 – Suggestion of statistics to be surveyed by means of a national register of SD cases in competitive sports in young athletes. SD: sudden death. 1. MaronBJ.Suddendeathinyoungathletes.NEnglJMed.2003;349(11):1064-75. 2. Maron BJ, Epstein SE, Roberts WC. Causes of sudden death in competitive athletes. J Am Coll Cardiol. 1986;7(1):204-14. 3. Morentin B, Ballesteros J, Callado LF, Meana JJ. Recent cocaine use is a significant risk factor for sudden cardiovascular death in 15-49-year-old subjects: a forensic case-control study. Addiction. 2014;109(12):2071-8. 4. Frati P, Busardo FP, Cipolloni L, Dominicis ED, Fineschi V. Anabolic Androgenic Steroid (AAS) related deaths: autoptic, histopathological and toxicological findings. Curr Neuropharmacol. 2015;13(1):146-59. 5. Maron BJ, Levine BD, Washington RL, Baggish AL, Kovacs RJ, Maron MS. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: Task Force 2: Preparticipation Screening for Cardiovascular Disease in Competitive Athletes: A Scientific Statement From the American Heart Association and American College of Cardiology. Circulation. 2015;132(22):e267-72. 6. Corrado D, Pelliccia A, Heidbuchel H, Sharma S, Link M, Basso C, et al. Recommendations for interpretation of 12-lead electrocardiogram in the athlete. Eur Heart J. 2010;31(2):243-59. 7. PeidroR,FroelicherV,SteinR.Pre-participationscreeningoftheyoungathlete: is this the time for an agreement? Arq Bras Cardiol. 2011;96(3):e50-2. 8. Monteiro VCL, Silva JAdO, Oliveira RB, Frangipani BJ, Dearo PR, Previdelli ÁN, et al. Evaluation of food intake in patients withmucopolysaccharidosis. Nutrire Rev Soc Bras Aliment Nutr. 2018;43:1-7. 9. Pelliccia A, Maron BJ. Preparticipation cardiovascular evaluation of the competitive athlete: Perspectives from the 30-year Italian experience. Am J Cardiol. 1995; 75(12):827-9. 10. Corrado D, Basso C, Pavei A, Michieli P, Schiavon M, Thiene G. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA. 2006;296(13):1593-601. 11. Corrado D, Basso C, Schiavon M, Pelliccia A, Thiene G. Pre-participation screening of young competitive athletes for prevention of sudden cardiac death. J Am Coll Cardiol. 2008;52(24):1981-9. 12. Lakhdar N, Denguezli M, Zaouali M, Zbidi A, Tabka Z, Bouassida A. Six months training alone or combined with diet alters HOMA-AD, HOMA- IR and plasma and adipose tissue adiponectin in obese women. Neuro Endocrinol Lett. 2014;35(5):373-9. References As a matter of curiosity, in combat sports, which involve high-energy trauma, or in sports involving interaction with high-speed artifacts (e.g., baseball), concerns with commotio cordis (a malignant arrhythmia triggered by direct trauma in the anterior thorax) must be present. 31 Future Directions As exposed above, we identified a few points still unknown which require priority examination in order to define tracking, prevention and national regulation strategies, all of which are essential for the HTA process; and which can be accessed through a genuinely Brazilian register (Figure 1). We emphasize the central role of public research support agencies in Brazil for building a register. A call for projects specifically to that end seems to us appropriate, preferably for projects of a multicentric nature and with public sharing of data. So far, considering the lack interest on the part of independent researchers, the State has not yet expressed a position, nor has it facilitated the implementation of a viable strategy for a national register, which we consider a critical step. Author contributions Conception and design of the research; Acquisition of data; Analysis and interpretation of the data; Statistical analysis; Obtaining financing;Writing of themanuscript andCritical revision of themanuscript for intellectual content: Helal L, Ferrari F, SteinR. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding Lucas Helal has full-time research support by CAPES. Ricardo Stein is an estabilished CNPq researcher. Study Association This article is part of the master’s thesis submitted by Filipe Ferrari, from the Graduate Program in Cardiology and Cardiovascular Sciences of the Faculty of Medicine of the Universidade Federal do Rio Grande do Sul. 858