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We saw a sudden cardiac arrest with our own eyes during Euro 2020, when Danish Christian Eriksen fell on the pitch. A few months later, Algerian footballer Sofiane Loukar died on his way to the hospital. He had a heart attack. At the end of December, the dancer Zora Koloyov died, and the unofficial cause of death was supposed to be inflammation of the heart muscle. Why do such situations arise among young, athletic people? We ask the cardiologist Dr. hab. Bartosz Hudzik.
- Deaths related to heart disease among young people are caught and collected under the shared hashtag # suddenly21 on Twitter
- Internet users suggest that COVID-19 vaccines are responsible for the deaths
- – Nobody would be interested in using a substance that kills people, especially since you can create a new one very quickly, which will be safe and thanks to which they will be able to earn much more money. Because who is going to buy these vaccines and drugs if they kill everyone? It makes no sense – said the drug in an interview with Medonet. Bartosz Fiałek
- Dr hab. Bartosz Hudzik also does not see a link between deaths from the heart among young active people and vaccines. As he says, they were also before. Now we hear about them because we have easier access to such information
- More information can be found on the Onet homepage
He is a cardiologist and specialist in internal medicine.
And also an employee:
- III Department and Clinical Department of Cardiology of the Silesian Center for Heart Diseases in Zabrze
- Department of Cardiovascular Diseases Prevention in Bytom, Medical University of Silesia in Katowice
Agnieszka Mazur-Puchała, Medonet: Looking at the entries with the hashtag “Nagle21” on Twitter, one can get the impression that every now and then a young man dies “of the heart”. We have heart attacks among footballers, myocarditis in a dancer …
Dr hab. Bartosz Hudzik, cardiologist: The common denominator is that they are very physically active people, athletes. In fact, sudden cardiac death (sudden cardiac death, SCD) is the leading cause of exercise-related mortality in athletes. Most often, sudden cardiac arrest (sudden cardiac arrest, SCA) is the first manifestation of cardiovascular disease in them. Currently, it is estimated that the prevalence of SCD among competitive athletes ranges from 1 in a million to 1 in 5. athletes every year. The discrepancies in these data are largely due to inconsistent research methodology and the comparison of diverse populations. The most common data is 1–2 cases per 100. athletes every year.
Scientific research shows that some athletes are more likely to develop SCA because of their gender, race, or field of sport. For example, incidence rates are consistently higher in male athletes than in females, with a relative risk ranging from 3: 1 to 9: 1 (males: females). Moreover, black athletes of African descent from the Caribbean are also at greater risk of SCA than white athletes. Research among American sports students showed that men were at greater risk than women (1 / 38 versus 1 / 122), and black athletes were 3,2 times more likely than white athletes ( 1/21 thousand compared to 1/68 thousand). Male basketball players had the highest annual SCD risk (1/9 thousand), and black male basketball players – 1/5 thousand. 300.
So keep in mind that male athletes, black athletes, basketball players (US), and footballers (Europe) represent higher risk groups.
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The rest of the text is below the video.
Why is this happening? Why does the heart stop beating in young, physically active people?
People using this hashtag link these events to COVID-19 immunization. There is currently no scientific evidence to establish a causal relationship between COVID-19 vaccination and the occurrence of SCA / SCD in sport. In some people, SCA / SCD syncope (the type of disease does not appear from the recording) occurred in the period before the introduction of vaccinations, and in others, vaccination took place long before the incident.
The causes of SCA / SCD in young athletes (≤35 years of age) can vary and fall into two large groups: congenital and acquired. SCD in young athletes is usually caused by genetic or congenital structural heart defects. Sudden unexplained death with normal autopsy (authopsy negative sudden unexplained death, AN-SUD), also referred to as sudden arrhythmic death syndrome, is found at post-mortem examination in up to 44 percent. SCD cases, depending on the study population. However, in the population of athletes> 35 years of age, the most common cause of SCA / SCD is atherosclerotic coronary artery disease.
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Congenital:
- Structurally abnormal heart: hypertrophic cardiomyopathy, right ventricular arrhythmogenic cardiomyopathy, dilated cardiomyopathy, other cardiomyopathies (e.g., non-consolidation), congenital abnormalities of the opening or course of the coronary arteries, aortic disease (i.e. Marfan’s syndrome, ascending aortic aneurysm / dissection) (e.g. congenital aortic stenosis)
- Structurally normal heart: long QT syndrome / short QT syndrome, catecholamine-dependent polymorphic ventricular tachycardia, pre-excitation (WPW syndrome), Brugada syndrome, other channelopathies
Acquired:
- Structurally abnormal heart: atherosclerotic coronary artery disease, myocarditis, Kawasaki disease
- Structurally normal heart: concussion (an emotion of the heart), acquired QT prolongation (i.e. drug-induced)
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I can still see Christian Eriksen, who fell on the pitch during the Denmark – Finland match at Euro 2020. Recently, Algerian footballer Sofiane Loukar died during the match. Suddenly, more such reports began to appear. You haven’t heard about it before.
Taking into account the multitude of sports disciplines and the number of athletes practicing them (at various amateur or professional levels – high school, university, national leagues, international competitions, Olympic Games), SCA / SCD are extremely rare events, but always tragic. Specialists dealing with sports cardiology have known the problem of SCA / SCD in athletes for years. It seems to me that this “excess” of deaths among athletes observed by Internet users results from the greater media interest, including social media, in this topic.
Even 10 or 20 years ago, such deaths were hardly reported, unless they occurred during major sports events. Now we have access to information on the deaths of athletes during small and large sports events, and even during training. Moreover, the reach of the media, including social media in particular, allows for the provision of information from any and all parts of the globe.
Here I would like to emphasize one thing: in the case of Christian Eriksen, everything turned out well, because he was helped immediately. Resuscitation (indirect heart massage) was performed, a defibrillator was used. Later, he was implanted with a cardioverter-defibrillator, the task of which is to monitor whether a dangerous cardiac arrhythmia will occur again, and if such an arrhythmia does occur – its termination. This solution was also used in the case of other players, such as Anthony van Loo. On YouTube you can find a recording where he has an arrhythmia, a footballer falls on the pitch without contact with an opponent. After a few seconds, you can see the device work (slight shock) and then Anthony van Loo rises. The regulations regarding the possibility of returning to professional sports after SCA and implantation of a cardioverter-defibrillator are very diverse (Italians are the most restrictive when it comes to European countries). Experts’ opinions about the possibility of returning to practicing sport are also divided. However, this depends primarily on the underlying cause of SCA (that is, the heart disease that led to it).
An external defibrillator used by medical services works on the same principle. For several or several years, we have also been able to use automatic external defibrillators (Automated External Defibrillator, AED). It is a device that analyzes the victim’s heart rhythm and decides whether a shock is needed. If so, it directs the electrical impulse with the electrodes and thus helps restore the heart rhythm to normal. It is an automatic device that can be used by people without medical training.
That is why I emphasize the role of first aid courses, because we, too, may find ourselves in a situation where someone in our environment experiences a sudden cardiac arrest. It can happen in the supermarket, at the pharmacy, at the bus stop. In such a situation, we call the ambulance and start providing first aid. And if we’re in a place where there might be an AED defibrillator, let’s use it. Let us remember that we cannot hurt someone while providing first aid. We can save someone’s life for it. An extremely important element of expanding the network of AED defibrillators is educating the public – training in the use of automatic external defibrillator reduces the fear of the witnesses of the event about using such a defibrillator.
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- Call for help
- Put the injured person on his back, tilt his head back
- Perform heart massage and artificial respiration (30 compressions, 2 breaths)
I am wondering about one thing. After all, athletes are thoroughly tested. How is it possible that they then die of heart disease?
Screening in this case is quite a complex matter. Experts disagree on which to do. Most often, an in-depth medical history of symptoms, family history and a physical examination are suggested. Sometimes an ECG or heart echo is also recommended. The exercise test also plays a role in the screening of athletes over 35 years of age. Major medical societies recommend screening for cardiovascular disease before starting activity in order to detect disorders associated with the risk of SCD. There are specific protocols that are used by different sports federations. However, the best method of screening for cardiovascular disease in young competitive athletes (<35 years) remains inconclusive, and limited data are available that would assist in making recommendations to professional athletes (≥35 years old). Screening strategies must be tailored to the target population and the specific disorders of the highest risk. SCD in young athletes is caused by a variety of structural and electrical heart diseases (including cardiomyopathies, channelopathies, coronary anomalies, and acquired heart disease).
The athlete’s heart is actually a separate medical term. During sports (especially competitive sports), many adaptive changes occur in the heart in response to physical exertion. These changes, unlike the aforementioned cardiovascular diseases, should be treated as physiological.
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Also read:
- Why do young people die? The doctor explains the internet campaign # Nagle21
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