VAN CAMP, S. P., C. M. BLOOR, F. O. MUELLER, R. C. CANTU, and H. G. OLSON. Nontraumatic sports death in high school and college athletes. Med.Sci. Sports Exerc., Vol. 27, No. 5, pp.641-647, 1995. Nontraumatic deaths occur each year in organized high school and college athletics, resulting in considerable public concern. We conducted a study of the frequency and causes of nontraumatic sports deaths in high school and college athletes in the USA through the National Center for Catastrophic Sports Injury Research to define the magnitude of this problem and its causes. Over a 10-yr period, July 1983-Junc 1993, nontraumatic sports deaths were reported in 126 high school athletes (115 males and 11 females) and 34 college athletes (31 males and 3 females). Estimated death rates in male athletes were fivefold higher than in female athletes (7.47 vs 1.33 per million athletes per year, P < 0.0001), and twofold higher in male college athletes than in male high school athletes (14.50 vs 6.60 per million athletes per year, P < 0.0001). Cardiovascular conditions were more common causes of death than noncardiovascular conditions. Hypertrophic cardiomyopathy and congenital coronary artery anomalies were the most common causes of death. In high school and college athletes, males are at increased risk for nontraumatic sports deaths compared with females even after adjustment for participation frequency; college males are at greater risk than high school males. In all groups the deaths were primarily due to cardiovascular conditions.
(C)1995The American College of Sports Medicine
"the right sinus, 59% of them died before the age of 20 years, mainly during or shortly after vigorous exercise. It was reported  that coronary anomalies cause 11.8% of deaths in US high school and college athletes and emphasized that the number should not be neglected. According to the American Heart Association report , coronary anomalies cause 19% of deaths in athletes. "
" 2001 ) . Blood pressure normally returns to baseline in normotensive ( NT ) individuals within 8 minutes ( Dumoulin , 2001 ) . Some sporting activities , particularly high intensity activities such as resistance power lifting , requiring maximal contractions and exertions , may be dangerous for hypertensive individuals and should be avoided ( Van Camp et al . , 1995 ) . Other sporting activities including low intensity aerobic exercise , such as jogging , may be recommended and are considered an independent or adjunctive treatment for HT ( Domoulin , 2001 ) . Van Camp and colleagues ( 1995 ) described 160 cases of nontraumatic cardiovascular causes for death in high school and college athletes betw"
[Show abstract][Hide abstract] ABSTRACT: The aim of this study was to identify hypertension (HT) in karate competitors (KCs) in high intensity exercise. Values were compared with an exercise control group (EC). The 84 subjects were randomly divided into two groups: KC and EC. Resting blood pressure (BP) was measured the day before and immediately precompetition. A further three measurements were taken postexercise for all subjects at 1-, 2-, and 8- minute intervals. At rest, day one, mean BP of KC was 134/84 ± 3/2 mmHg vs. EC, 124/72 ± 1/2 mmHg and on day 2, was 141/79 ± 3/2 mmHg vs. EC, 125/72 ± 1/2 mmHg, respectively. Eight minutes postcompetition, BP of KCs was 140/77 ± 2/1 mmHg vs. EC 135/75 ± 2/1 mmHg. High blood pressure (HBP) was recorded in 60.5% of KCs on day 2, and essential HT that required medical therapy was subsequently diagnosed in 5% of KCs. Five percent of EC also had HBP, but subsequent medical examination reported normal values.
Research in Sports Medicine An International Journal 01/2013; 21(1):1-11. DOI:10.1080/15438627.2012.738440 · 1.70 Impact Factor
"tralia. Our understanding of the rates and causes of SCD in athletes is based largely on Italian and US data in which considerable variance suggests that local genetic patterns may influence SCD causes and prevalence       "
[Show abstract][Hide abstract] ABSTRACT: Pre-participation screening of all competitive athletes is recommended in some countries and mandated in others to prevent sudden cardiac death in predisposed athletes. Whilst the prevalence of some conditions, which are screened for such as coronary artery anomalies and long QT syndromes, are stable across different populations, the prevalence of underlying conditions such as hypertrophic cardiomyopathy and arrhythmogenic right ventricular dysplasia shows considerable geographic variability. Evidence exists that screening reduces sudden death, but the potential negative impact of exclusion from sport has not been quantified. Australia has a high rate of participation in sport and needs to consider whether screening is feasible, effective and affordable. It is difficult to make this decision currently as there is little information about the scope of the problem in Australia and whether the prevalence of underlying conditions which predispose to sudden cardiac death is similar or different to that in other countries. We review the evidence for and against screening and propose that systematic collection of Australian data is required before routine pre-participation screening can be introduced in Australia.
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