Sudden Cardiac Death in Young Athletes; a Literature Review and Special Considerations in Asia


Farzin Halabchi ORCID 2 , * , Tohid Seif-Barghi 2 , Reza Mazaheri 2

2 Department of Sport and Exercise Medicine, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, IR Iran

How to Cite: Halabchi F, Seif-Barghi T, Mazaheri R. Sudden Cardiac Death in Young Athletes; a Literature Review and Special Considerations in Asia, Asian J Sports Med. Online ahead of Print ; 2(1):34818. doi: 10.5812/asjsm.34818.


Asian Journal of Sports Medicine: 2 (1); 1-15
Published Online: February 28, 2011
Article Type: Research Article
Received: January 3, 2011
Accepted: January 26, 2011


Sudden cardiac death (SCD) in a young athlete is rare, but catastrophic. Exercise acts as a risk factor for SCD in people with cardiovascular disease. A diversity of cardiovascular disorders including hypertrophic cardiomyopathy, congenital coronary anomalies, arrhythmogenic right ventricular dysplasia, dilated cardiomyopathy, aortic rupture due to Marfan syndrome, myocarditis, valvular disease and electrical disorders (WolffParkinsonWhite syndrome, long QT syndrome, Brugada syndrome), as well as commotio cordis represent the common causes of SCD in young athletes.

As the outcome of lethal cardiovascular disorders is not reversible except in few cases, effective measures should be addressed to reduce the burden of sudden cardiac death in young athletes. Currently, two types of recommendations are proposed by American and European countries.

It seems that there are some special considerations in Asia, entirely different from North America or Europe, which warrant more comprehensive research on epidemiology and etiology of SCD in young Asian athletes by country and evaluation of current national preventive strategies and their achievements in decreasing the risk. Using these data and considering regional restrictions, an expert group will be able to plan a practical and feasible preventive strategy.

Full Text

Full text is available in PDF

© 2011, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.