Morte súbita cardíaca em atletas

Fábio Camilo Pellegrino dos Santos, Daniel Fernando Pellegrino dos Santos, Daniel Dias Azem, Camila Francischetti Ortiz, Nabil Ghorayeb, Enrique Indalécio Pachon Mateo, José Carlos Pachon Mateos

Resumo


A definição mais aceita hoje em dia é o de uma morte ocorrida subitamente e sem explicação dentro de uma hora do início dos sintomas. Se não foi testemunhada, os indivíduos precisam estar sendo observados ao menos 24 horas antes do evento, devendo-se descartar a possibilidade de uma causa não cardíaca de morte súbita, como embolia pulmonar extensa ou doença maligna. O termo atleta refere-se a indivíduos de qualquer idade que participam de atividades físicas coletivas ou individuais regulares, bem como programa de treinamento físico para competições regulares. A morte súbita de um atleta jovem, seja amador ou profissional, principalmente durante competições, é sempre dramática, com forte impacto negativo social e na mídia. O fato da prática desportiva ser preconizada como fórmula de longevidade e de qualidade de vida faz com que estes eventos sejam motivo de apreensão no meio esportivo e na sociedade em geral.


Palavras-chave


morte súbita cardíaca; atletas; fatores de risco; cardiopatias

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Referências


Myerburg RJ, Castellanos A. Cardiac arrest and sudden cardiac death. In: Zipes DP, Libby P, Borrow RO, Braunwald E, editors. Braunwald´s heart disease: a textbook of cardiovascular medicine. Philadelphia: Elsevier Saunders; 2005. p.865-908.

Albert CM, Chae CU, Grodstein F, Rose LM, Reserode KM, Rustin JN, et al. Prospective study of sudden cardiac death among women in the Unites States. Circulation. 2003; 107(16):2096-101.

Machotko Z, Kumar S, Penaton LG. A systematic review of the literature on the effectiveness of exercise therapy for grain pain in athletes. Sports Med Arthron Rehabil Ther Technol. 2009; 1:5.

Corrado D, Basso C, Rizzoli G, Schiavon M, Thiene G. Does sports activity enhance the risk of sudden death in adolescents and young adults? J An Coll Cardiol.2003; 42:1959-63.

Bille K, Figueiras D, Schanasch P, Kappenberger L, Brunner JL, Mejiboom FJ, et al. Sudden cardiac death in athletes: the Lausanne recommendations. Eur J Cardiovasc Prev Rehabil. 2006; 13:859-75.

Corrado D, Pellicia A, Bjornstad HH, Vanhees L, Biffi A, Borjesson M, et al. Cardiovascular pre-participation screening of Young competitive athletes for prevention of sudden death: proposal for a common European protocol Consensus Statement of the study group of sport cardiology of the working group of cardiac rehabilitation and exercise physiology and the working group of myocardial and pericardial diseases of the European society of cardiology. Eur Heart J. 2005; 26:516-24.

Maron BJ, Hass TS, Daerer JJ, Thompson PD, Hodges JS. Comparison of U-S and Italian experience with sudden cardiac deaths in young competitive athletes and implications for preparticipation screening strategies. Am J Cardiol. 2009; 104:276-80.

Harmon K, Asif I, Klossner D, Drezner J. Incidence of sudden cardiac death in national collegrate athletic association athletes. Circulation. 2011; 123:1594-600.

Corrado D, Basso C, Thiene G. Essay: Sudden death in young athletes. Lancet. 2005; 366 (suppl1):547-8.

Maron BJ. Sudden death in young athletes. N Engl J Med. 2003; 349(11):1064-75.

Varro A, Baczko I. Possible mechanism of sudden cardiac death in top athletes: a basic cardiac electrophysiological point of view. Pflugers Arch 2010; 460:31-40.

Thompson PD, Franklin BA, Balady GJ, Blair SN, Corrado D, Estes NA 3rd, et al.; American Heart Association Council on Nutrition, Physical Activity. Exercise and acute cardiovascular events placing the risks into perspective: a scientific statement from the American Heart Association Council our Nutrition, Physical Activity, and Metabolism and the Council our Clinical Cardiology. Circulation. 2007; 115:2358-68.

Ferreira M, Silva PR, Abreu LC, Valentin V, Crispin V, Imaizumi C, et al. Sudden cardiac death athletes: a systematic review. Sports Med Arthrosc Rehabil Ther Technol. 2010; 2:19.

Maron BJ, Gohsan TE, Kyle SB, Ester NAM, Link MS Clinical profile and spectrum of commotio cordis. JAMA. 2002; 287:1142-6.

Keren A, Syvius P, Mcvenna WJ. Hypertrophic cardiomyopathy: the genetic determinants of clinical disease expression. Nat Clin Pract Cardiovasc Med. 2008, 5:158-68.

Cobb LA, Weaver WD. Exercise: a risk for sudden death in patients with coronary heart disease. J Am Coll Cardiol. 1986; 7:215-9.

Maron BJ, Peterson EE, Maron MS, Peterson JE. Prevalence of hypertrophic cardiomyopathy in an outpatient population referred for echocardiographic study. Am J Cardiol. 1994; 73:577-80.

Link M, Ester N. Athletes and arrhythmias. J Cardiovasc Electrophysiol. 2010; 21:1184-9.

Maron BJ, Ackerman MJ, Nishimus RA, Pyeritz RE, Towbin JA, Udelson JE. Task Face 4: HCM and other cardiomyopathies, mitral valve prolapse, myocarditis, and Marfan syndrome. J Am Coll Cardiol. 2005; 45(8):1340-5.

Albert CM, Chae CU, Grodstein F, Rose LM, Rexrode KM, Ruskin JN, et al. Prospective study of sudden cardiac death among women in the United States. Circulation. 2003; 107:2096-101.

Ghorayeb N, Cruz F, Dioguandi G. Sudden death of athletes a new fact? Arq Bras Cardiol. 2007; 89:169-70.

Corrado D, Basso C, Rizzoli G, Schiavon M, Thiene G. Does sports activity enhance the risk of sudden death in adolescents and young adults? J Am Coll Cardiol. 2003; 42:1959-63.

Mackotka Z, Kumar S, Perraton LG. A systematic review of the literature on the effectiveness of exercise therapy for groin pain in athletes. Sports Med Arthrosc Rehabil Ther Technol. 2009; 1:5.


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