Hypertrophic cardiomyopathy associated with sudden death during marathon racing.
- 1 May 1979
- Vol. 41 (5), 624-627
- https://doi.org/10.1136/hrt.41.5.624
Abstract
An experienced marathon runner died suddenly during a competitive race. At necropsy, ventricular hypertrophy but no asymmetrical septal hypertrophy was found. Histological studies showed features of hypertrophic cardiomyopathy. The coronary arteries were normal. We propose that the runner died from myocardial ischaemia, precipitated by marathon running on a background of hypertrophic cardiomyopathy. Excess cardiac work, induced by marathon running in the presence of mild congenital cardiac defects, could have contributed to the development of the cardiomyopathy.Keywords
This publication has 18 references indexed in Scilit:
- MARATHON RUNNING AND IMMUNITY TO ATHEROSCLEROSISAnnals of the New York Academy of Sciences, 1977
- CORONARY HEART DISEASE IN MARATHON RUNNERSAnnals of the New York Academy of Sciences, 1977
- Postmortem diagnosis of ventricular fibrillation by K and Na distribution in the myocardium and skeletal muscle in out-of-hospital sudden death from acute ischemic heart diseaseAmerican Heart Journal, 1977
- Hypercontractile cardiac states simulating hypertrophic cardiomyopathy.Circulation, 1977
- Isometric Cardiac ContractionNew England Journal of Medicine, 1977
- SUDDEN DEATH AND SPORTThe Lancet, 1975
- Effect of ischaemia on cardiac contractility and calcium exchangeabilityJournal of Molecular and Cellular Cardiology, 1971
- Hypertrophic obstructive cardiomyopathy, a histological, histochemical, and ultrastructural study of biopsy materialCardiovascular Research, 1971
- Postmortem detection of inapparent myocardial infarctionJournal of Clinical Pathology, 1970
- The athletic heart syndrome. Five-year cardiac evaluation of a champion athleteArchives of Internal Medicine, 1968