Sudden Cardiac Death in Young Athletes: A Review for Nurses

1992 ◽  
Vol 3 (1) ◽  
pp. 243-254 ◽  
Author(s):  
Patricia L. Vaska
Keyword(s):  
Health Care ◽  
Coronary Artery ◽  
Hypertrophic Cardiomyopathy ◽  
Sudden Death ◽  
Cardiac Death ◽  
Anomalous Coronary Artery ◽  
Young Athletes ◽  
Health Care Practitioners ◽  
Common Causes ◽  
Anomalous Coronary

Sudden death in young athletes is a rare and devastating event. The most frequent causes of sudden death in this group are hypertrophic cardiomyopathy, anomalous coronary artery, and Marfan syndrome. This article describes the physiology of exercise and the pathophysiology associated with the most frequent causes as well as some of the less common causes of sudden death in young athletes. Identification of youth who may be at risk should be a priority for health care practitioners, and suggestions for recognizing and counseling affected athletes are therefore included

scholarly journals Anomalous Coronary Artery Origin and Sudden Cardiac Death

2019 ◽  
Vol 5 (4) ◽  
pp. 516-522 ◽  
Author(s):  
Gherardo Finocchiaro ◽  
Elijah R. Behr ◽  
Gaia Tanzarella ◽  
Michael Papadakis ◽  
Aneil Malhotra ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Anomalous Coronary Artery ◽  
Anomalous Coronary

The sinister course of an intramural right coronary artery

2011 ◽  
Vol 22 (2) ◽  
pp. 206-208
Author(s):  
Deane L. S. Yim ◽  
Mark C. K. Hamilton ◽  
Robert M. R. Tulloh
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Sudden Death ◽  
Spatial Resolution ◽  
Anomalous Coronary Artery ◽  
Aortic Sinus ◽  
Left And Right ◽  
High Index Of Suspicion ◽  
Anomalous Coronary ◽  
Multi Detector Computed Tomography

AbstractWe report the case of an adolescent who was presented with long-standing exertional symptoms, and was diagnosed with an anomalous right coronary arterial origin arising above the commissural junction between the left and right aortic sinus, with inter-arterial and intramural compression. The precise origin of this lesion outside the aortic sinuses is unusual, and multi-detector computed tomography gave excellent definition and spatial resolution of the anomalous origin and course. It is crucial to have a high index of suspicion of exertional symptoms, as sudden death may be the first manifestation of an anomalous coronary artery.

Perfusion Study Helps in the Management of the Intraseptal Course of an Anomalous Coronary Artery

2019 ◽  
Vol 10 (3) ◽  
pp. 360-363 ◽  
Author(s):  
Salvatore Agati ◽  
Aurelio Secinaro ◽  
Federica Caldaroni ◽  
Davide Calvaruso ◽  
Lucia Manuri ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Cardiac Death ◽  
Incidental Finding ◽  
Anomalous Coronary Artery ◽  
Perfusion Deficit ◽  
Sinus Of Valsalva ◽  
Perfusion Study ◽  
Aortic Sinus ◽  
Aggressive Surgical Approach ◽  
Anomalous Coronary

Anomalous origin of a coronary artery from the opposite aortic sinus of Valsalva can present in various ways, ranging from a benign and incidental finding to sudden cardiac death. The variant with an intraseptal subpulmonary course (sometimes referred to as intraconal), is widely perceived to carry a low risk of ischemia and has been considered to be a benign variant, not requiring surgical treatment. In one of our recent patients, however, nuclear scintigraphy highlighted a myocardial perfusion deficit in the territory supplied by the allegedly benign anomalous coronary artery, prompting the need for a more aggressive surgical approach.

scholarly journals Diagnosis Using CCTA and Management of Anomalous Right Coronary Artery from the Opposite Sinus

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Asma Mursleen ◽  
Gregory Hartlage ◽  
Aarti Patel ◽  
Eric E. Harrison ◽  
C. Alberto Morales
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Cardiac Death ◽  
Left Coronary Artery ◽  
Vigorous Physical Activity ◽  
Coronary Anomalies ◽  
Young Athletes ◽  
Left And Right ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries

Coronary anomalies can be observed in 1–1.2% of all angiograms performed. Majority of coronary anomalies are benign and do not lead to cardiac ischemia; however anomalous coronary arteries from the opposite sinus (ACAOS) are often associated with sudden cardiac deaths, typically in 0.11–0.35% of individuals who participate in vigorous physical activity (Peñalver et al., 2012). Left and right ACAOS have an incidence of 0.15% and 0.92%, respectively. Left ACAOS are often associated with higher incidence of sudden cardiac death; this could be secondary to greater territory of myocardial perfusion by the left coronary artery. ACAOS are often asymptomatic and initially present as sudden death following exertion in young athletes. The management of left ACAOS is clear and surgery is usually indicated. However there is a lack of consensus on the management of certain cases of right ACAOS. In this paper a case of 20 yo M with right coronary artery from left sinus is going to be presented with a discussion on pathophysiology, diagnosis, and management.

24 Anomalous coronary artery origin and sudden cardiac death. data from a large regional registry

2018 ◽  
Author(s):  
Gherardo Finocchiaro ◽  
Elijah Behr ◽  
Gaia Tanzarella ◽  
Michael Papadakis ◽  
Harshil Dhutia ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Anomalous Coronary Artery ◽  
Anomalous Coronary ◽  
Death Data

Anomalous aortic origin of a right coronary artery: two brothers with an identical pattern

2021 ◽  
pp. 1-3
Author(s):  
Giuliano Giusti ◽  
Salvatore Caputo ◽  
Marco Pozzi
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Anomalous Coronary Artery ◽  
Radiological Findings ◽  
Anomalous Coronary

Abstract We report on the diagnosis of anomalous coronary artery in two brothers. Following the diagnosis of anomalous coronary artery in one sibling, we screened immediate family relatives and found the same anomaly in the older brother. Familiarity in this pathology is extremely rare. We analysed and compared clinical, echocardiographic and radiological findings in the two brothers.

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