title: [Sudden cardiac death during a city marathon run].
abstract: Sudden cardiac death (SCD) in young athletes during physical stress is a rare event with an incidence of 1-3 deaths per 100,000 athletes per year. A coronary anomaly is the second most common cause of death following hypertrophic cardiomyopathy. Symptomatic prodromes occur in 20% of cases prior to the SCD event. This case report describes a 35-year-old male who collapsed near the finishing line of a half marathon run. Despite immediate resuscitation attempts and initial return of spontaneous circulation (ROSC), a pulseless electrical activity (PEA) followed and the patient died 1 h after arrival in the resuscitation unit. The autopsy revealed an anomalous left coronary artery (ALCA), which can lead to ischemia of the respective heart muscles under severe stress.
authors.affiliation: Klinik für Anästhesie, Chirurgische Intensivmedizin, Rettungsmedizin und Schmerztherapie, Luzerner Kantonsspital, 6000, Luzern 16, Schweiz, jonasbeutler@bluewin.ch.
authors.forename: J
authors.initials: J
authors.lastname: Beutler
authors.forename: E
authors.initials: E
authors.lastname: Schmid
authors.forename: S
authors.initials: S
authors.lastname: Fischer
authors.forename: S
authors.initials: S
authors.lastname: Hürlimann
authors.forename: C
authors.initials: C
authors.lastname: Konrad
mesh_terms: D000328:Adult; D001344:Autopsy; D016887:Cardiopulmonary Resuscitation; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000473:pathology; D003331:Coronary Vessels / Q000473:pathology; D016757:Death, Sudden, Cardiac / Q000209:etiology / Q000473:pathology*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009206:Myocardium / Q000473:pathology; D010807:Physical Endurance; D012420:Running