[Sportman's myocardial infarction].
Sport related myocardial infarctions are rare. They concern a population mainly male, of more than 35 years, with a high prevalence of smoker. The initial clinical presentation is serious, with frequent ventricular fibrillations, the mode of revelation that can be a sudden death. The angiographic data mainly shows a single vessel disease or no significant lesion. These characteristics put down the problem of the validity of preparticipation screening for cardiovascular abnormalities, and in particular the place of exercise stress testing. It is advisable to continue the reflexion to determine a reasonable strategy in the tracking of the subjects at risk. This tracking, the correction of cardiovascular risk factors, the diffusion of elementary rules good sporting practices and the management of sudden death with rapid defibrillation on the sporting sites and complexes are current measurements essential to develop.
Halna du Fretay
X
X
Hôpital Foch, 40, rue Worth, 92150 Suresnes, France. xdufretay@wanadoo.fr
Gérardin
B
B
D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D013177:Sports