Incidence of sudden cardiac death in athletes

A state-of-the-art review

Kimberly G. Harmon, Jonathan A. Drezner, Mathew G. Wilson, Sanjay Sharma

Research output: Contribution to journalReview article

64 Citations (Scopus)

Abstract

Sudden cardiac death (SCD) is the leading medical cause of death in athletes; however, the precise incidence is unknown. The objectives of this review were to examine studies on the rate of SCD in athletes, assess the methodological strengths and weaknesses used to arrive at estimates, compare studies in athletes with estimates in similar populations and arrive at an approximation of the incidence of SCD based on the best available evidence. A comprehensive literature search was performed in PubMed using key terms related to SCD in athletes. Articles were reviewed for relevance and included if they contained information on the incidence of SCD in athletes or young persons up to the age of 40. The reference list from each manuscript was reviewed for additional relevant articles. The methods for case identification were examined, as well as the inclusion and exclusion criteria and the precision of the population denominator studied. Thirteen studies were found investigating the rate of SCD in athletes who ranged in age from 9 to 40. An additional 15 incidence studies were located examining the rate of SCD in other populations under the age of 40. Rates of SCD varied from 1:917 000 to 1:3000. Studies with higher methodological quality consistently yielded incidence rates in the range of 1:40 000 to 1:80 000. Some athlete subgroups, specifically men, African-American/black athletes and basketball players, appear to be at higher risk. The incidence of SCD in athletes is likely higher than traditional estimates which may impact the development of more effective prevention strategies.

Original languageEnglish
Pages (from-to)1227-1234
Number of pages8
JournalHeart
Volume100
Issue number16
DOIs
Publication statusPublished - 2014
Externally publishedYes

Fingerprint

Sudden Cardiac Death
Athletes
Incidence
Population
Basketball
Manuscripts
PubMed
African Americans
Cause of Death
Cohort Studies

Cite this

Harmon, K. G., Drezner, J. A., Wilson, M. G., & Sharma, S. (2014). Incidence of sudden cardiac death in athletes: A state-of-the-art review. Heart, 100(16), 1227-1234. https://doi.org/10.1136/heartjnl-2014-093872.rep
Harmon, Kimberly G. ; Drezner, Jonathan A. ; Wilson, Mathew G. ; Sharma, Sanjay. / Incidence of sudden cardiac death in athletes : A state-of-the-art review. In: Heart. 2014 ; Vol. 100, No. 16. pp. 1227-1234.
@article{1f4f1527141347d08648ffb9fccb4c8a,
title = "Incidence of sudden cardiac death in athletes: A state-of-the-art review",
abstract = "Sudden cardiac death (SCD) is the leading medical cause of death in athletes; however, the precise incidence is unknown. The objectives of this review were to examine studies on the rate of SCD in athletes, assess the methodological strengths and weaknesses used to arrive at estimates, compare studies in athletes with estimates in similar populations and arrive at an approximation of the incidence of SCD based on the best available evidence. A comprehensive literature search was performed in PubMed using key terms related to SCD in athletes. Articles were reviewed for relevance and included if they contained information on the incidence of SCD in athletes or young persons up to the age of 40. The reference list from each manuscript was reviewed for additional relevant articles. The methods for case identification were examined, as well as the inclusion and exclusion criteria and the precision of the population denominator studied. Thirteen studies were found investigating the rate of SCD in athletes who ranged in age from 9 to 40. An additional 15 incidence studies were located examining the rate of SCD in other populations under the age of 40. Rates of SCD varied from 1:917 000 to 1:3000. Studies with higher methodological quality consistently yielded incidence rates in the range of 1:40 000 to 1:80 000. Some athlete subgroups, specifically men, African-American/black athletes and basketball players, appear to be at higher risk. The incidence of SCD in athletes is likely higher than traditional estimates which may impact the development of more effective prevention strategies.",
author = "Harmon, {Kimberly G.} and Drezner, {Jonathan A.} and Wilson, {Mathew G.} and Sanjay Sharma",
year = "2014",
doi = "10.1136/heartjnl-2014-093872.rep",
language = "English",
volume = "100",
pages = "1227--1234",
journal = "British Heart Journal",
issn = "1355-6037",
publisher = "BMJ Publishing Group",
number = "16",

}

Harmon, KG, Drezner, JA, Wilson, MG & Sharma, S 2014, 'Incidence of sudden cardiac death in athletes: A state-of-the-art review', Heart, vol. 100, no. 16, pp. 1227-1234. https://doi.org/10.1136/heartjnl-2014-093872.rep

Incidence of sudden cardiac death in athletes : A state-of-the-art review. / Harmon, Kimberly G.; Drezner, Jonathan A.; Wilson, Mathew G.; Sharma, Sanjay.

In: Heart, Vol. 100, No. 16, 2014, p. 1227-1234.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Incidence of sudden cardiac death in athletes

T2 - A state-of-the-art review

AU - Harmon, Kimberly G.

AU - Drezner, Jonathan A.

AU - Wilson, Mathew G.

AU - Sharma, Sanjay

PY - 2014

Y1 - 2014

N2 - Sudden cardiac death (SCD) is the leading medical cause of death in athletes; however, the precise incidence is unknown. The objectives of this review were to examine studies on the rate of SCD in athletes, assess the methodological strengths and weaknesses used to arrive at estimates, compare studies in athletes with estimates in similar populations and arrive at an approximation of the incidence of SCD based on the best available evidence. A comprehensive literature search was performed in PubMed using key terms related to SCD in athletes. Articles were reviewed for relevance and included if they contained information on the incidence of SCD in athletes or young persons up to the age of 40. The reference list from each manuscript was reviewed for additional relevant articles. The methods for case identification were examined, as well as the inclusion and exclusion criteria and the precision of the population denominator studied. Thirteen studies were found investigating the rate of SCD in athletes who ranged in age from 9 to 40. An additional 15 incidence studies were located examining the rate of SCD in other populations under the age of 40. Rates of SCD varied from 1:917 000 to 1:3000. Studies with higher methodological quality consistently yielded incidence rates in the range of 1:40 000 to 1:80 000. Some athlete subgroups, specifically men, African-American/black athletes and basketball players, appear to be at higher risk. The incidence of SCD in athletes is likely higher than traditional estimates which may impact the development of more effective prevention strategies.

AB - Sudden cardiac death (SCD) is the leading medical cause of death in athletes; however, the precise incidence is unknown. The objectives of this review were to examine studies on the rate of SCD in athletes, assess the methodological strengths and weaknesses used to arrive at estimates, compare studies in athletes with estimates in similar populations and arrive at an approximation of the incidence of SCD based on the best available evidence. A comprehensive literature search was performed in PubMed using key terms related to SCD in athletes. Articles were reviewed for relevance and included if they contained information on the incidence of SCD in athletes or young persons up to the age of 40. The reference list from each manuscript was reviewed for additional relevant articles. The methods for case identification were examined, as well as the inclusion and exclusion criteria and the precision of the population denominator studied. Thirteen studies were found investigating the rate of SCD in athletes who ranged in age from 9 to 40. An additional 15 incidence studies were located examining the rate of SCD in other populations under the age of 40. Rates of SCD varied from 1:917 000 to 1:3000. Studies with higher methodological quality consistently yielded incidence rates in the range of 1:40 000 to 1:80 000. Some athlete subgroups, specifically men, African-American/black athletes and basketball players, appear to be at higher risk. The incidence of SCD in athletes is likely higher than traditional estimates which may impact the development of more effective prevention strategies.

UR - http://www.scopus.com/inward/record.url?scp=84904559259&partnerID=8YFLogxK

U2 - 10.1136/heartjnl-2014-093872.rep

DO - 10.1136/heartjnl-2014-093872.rep

M3 - Review article

VL - 100

SP - 1227

EP - 1234

JO - British Heart Journal

JF - British Heart Journal

SN - 1355-6037

IS - 16

ER -