[Sudden heart death in a long distance runner during a marathon].
Sudden cardiac death during running is mainly caused by an acute myocardial infarction and coronary artery disease. Other diseases like myocarditis are rarely documented. Before a marathon a 37-year-old, well-trained long-distance runner had normal findings at a sports medical consultation. During the race he collapsed after 41 km and died despite of immediate resuscitation attempts. At autopsy a 50% stenosis of the descending branch of the left coronary artery, and histologically an active myocarditis were observed (Dallas-classification). The endured extreme stress of the marathon probably resulted in arrhythmias and in sudden cardiac death.
Schuchert
A
A
Abteilung Kardiologie, Universitätskrankenhaus Eppendorf, Hamburg.
Püschel
K
K
Kupper
W
W
Schäfer
H
H
Bleifeld
W
W
D000328:Adult; D002312:Cardiomyopathy, Hypertrophic / Q000473:pathology; D003327:Coronary Disease / Q000473:pathology*; D003331:Coronary Vessels / Q000473:pathology; D003645:Death, Sudden / Q000473:pathology*; D004562:Electrocardiography; D005080:Exercise Test; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000473:pathology*; D009206:Myocardium / Q000473:pathology; D010809:Physical Fitness; D012420:Running
Plötzlicher Herztod eines Langstreckenläufers beim Marathonlauf.