title: [Sudden heart death in a long distance runner during a marathon].
abstract: 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.
authors.affiliation: Abteilung Kardiologie, Universitätskrankenhaus Eppendorf, Hamburg.
authors.forename: A
authors.initials: A
authors.lastname: Schuchert
authors.forename: K
authors.initials: K
authors.lastname: Püschel
authors.forename: W
authors.initials: W
authors.lastname: Kupper
authors.forename: H
authors.initials: H
authors.lastname: Schäfer
authors.forename: W
authors.initials: W
authors.lastname: Bleifeld
mesh_terms: 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
vernacular_title: Plötzlicher Herztod eines Langstreckenläufers beim Marathonlauf.