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Volume 32, Nº 4, Julho e Agosto 2019

   

DOI: http://www.dx.doi.org/10.5935/2359-4802.20190065

RELATO DE CASO

Sudden Cardiac Arrest in Athletes: Do not Miss Suspicious Details

Marta Luísa Braga

Paula Dias

Mariana Vasconcelos

Rui Almeida

Paulo Araújo

Maria Maciel





Introduction

Sudden cardiac death (SCD) related to sports activities is an unexpected and rare event, usually occurring in young and apparently healthy athletes. The main cause of SCD in young athletes (< 35 years old) is ventricular arrhythmia (VA) associated with arrhythmogenic disorders (e.g. hypertrophic cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy – ARVC, channelopathies). Some of these conditions can be suspected by routine preparticipation clinical evaluation, while others remain undetectable even after careful screening.1-3 This paper presents the case of a professional athlete with undiagnosed ARVC, whose first manifestation was malignant VA and biventricular dysfunction.

Keywords: Spots; Athletes; Physical Endurance; Risk Assessment; Sudden Death; Cardiac Arrest; Arrhythmias Cardiac; Arrhytmogenic Right Ventricular Dysplasia.