SELECTED ISSUES OF RISK STRATIFICATION AND PREVENTION OF SUDDEN CARDIAC DEATH IN ATHLETES UNDER EXTREME LOADS

Keywords: athletes, echocardiography, sudden cardiac death, 24-hour ECG monitoring

Abstract

Аim. The paper aims to improve preventive cardiovascular care through the awareness of the etiology and risk factors of sudden cardiac death in athletes under extreme loads with a history of pathological conditions. Materials and methods. The latest scientific and applied data published in clinical guidelines (Ventricular arrhythmias. Ventricular tachycardias and sudden cardiac death. 2020 Clinical guidelines.) approved by the ministry of health of Russia in 2020, Russian Guidelines for Sudden Cardiac Death Risk Assessment and Prevention (under the chairmanship of A. Ardashev, 2018), and scientific publications over 10 years were used for better stratification and validation of sudden cardiac death risk factors in athletes. Results. Our comprehensive analysis of the predictors of sudden cardiac death in athletes and people experiencing physical, emotional, and other stresses showed that the majority of cases were asymptomatic and, therefore, did not result in undergoing physical examination. At the same time, only a special cardiac examination allows to detect values outside of physiological standards. Therefore, a list of cardiac diseases that can remain asymptomatic for a long time is provided. Conclusion. In many cases, sudden cardiac death can be prevented by explaining to athletes and people under extreme loads the necessity to care for the cardiovascular and other systems, implementing innovative diagnostic technologies, and undergoing cardiac examination on a regular basis.

Author Biographies

T. Vialova , Chelyabinsk Regional Clinical Hospital, Chelyabinsk, Russia

Honored Doctor of Russia, Head of Cardiology Department No 2, Chelyabinsk Regional Clinical Hospital, Chelyabinsk, Russia.

S. Andrienko , Federal Center for Cardiovascular Surgery, Chelyabinsk, Russia

Cardiologist, Federal Center for Cardiovascular Surgery, Chelyabinsk, Russia.

A. Krivopalov , St. Petersburg Research Institute of Ear, Throat, Nose and Speech, St. Petersburg, Russia

Doctor of Medical Sciences, Senior Researcher, St. Petersburg Research Institute of Ear, Throat, Nose and Speech, St. Petersburg, Russia.

A. Talibov , Lesgaft National State University of Physical Education, Sport and Health, St. Petersburg, Russia

Doctor of Biological Sciences, Professor, Lesgaft National State University of Physical Education, Sport and Health, St. Petersburg, Russia.

A. Zaripov , Chelyabinsk Regional Clinical Hospital, Chelyabinsk, Russia

Cardiologist, Chelyabinsk Regional Clinical Hospital, Chelyabinsk, Russia

N. Kornova , South Ural State Medical University, Chelyabinsk, Russia

Candidate of Medical Sciences, Associate Professor of the Department of Otorhinolaryngology, South Ural State Medical University, Chelyabinsk, Russia.

References

References on translit

Published
2023-01-07
How to Cite
Vialova, T., Andrienko, S., Krivopalov, A., Talibov, A., Zaripov, A., & Kornova, N. (2023). SELECTED ISSUES OF RISK STRATIFICATION AND PREVENTION OF SUDDEN CARDIAC DEATH IN ATHLETES UNDER EXTREME LOADS. Human. Sport. Medicine, 22(S2), 182-190. https://doi.org/10.14529/hsm22s223
Section
Rehabilitation and sports medicine