• Vol. 48 No. 5
  • 15 May 2019

Sports-Related Sudden Cardiac Deaths in Singapore – An Eleven-Year Review

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Sports-related sudden cardiac death (SCD) is a rare
but tragic event. The absolute incidence has ranged from
1/80,000 to 1/200,000—depending on the type of sport,
competitive nature of the sport, geographical region and
methodology used in the analysis.1-5 Amongst young
athletes—arbitrarily defined as <35 years old—hypertrophic
cardiomyopathy (HCM) and arrhythmogenic right
ventricular dysplasia (ARVD) have been reported as the
most common causes of sports-related SCD in the United
States and Italy, respectively.2 In older athletes >35 years
old, ischaemic heart disease (IHD) has consistently ranked
as the most common cause. However, not all reported
sports-related SCDs have been adjudicated by autopsies.3-5
Understanding the epidemiology of sports-related SCD
has impact on planning of preparticipation screening and
in evaluating the utility of various cardiac screening tests.6

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