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https://hdl.handle.net/2440/32720
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Type: | Journal article |
Title: | Childhood sporting deaths |
Author: | Byard, R. James, R. Gilbert, J. |
Citation: | American Journal of Forensic Medicine and Pathology, 2002; 23(4):364-367 |
Publisher: | Lippincott Williams & Wilkins |
Issue Date: | 2002 |
ISSN: | 0195-7910 1533-404X |
Abstract: | Exercise-induced collapse and sudden death are unusual in childhood. For this reason, a study was undertaken of a series of 12 cases of sudden death in childhood occurring during physical exertion associated with sporting activities. The age range was 7 to 16 years (mean 12.3 years, M:F ratio 5:1). Deaths resulted from trauma associated with the sporting activity, from an idiosyncratic response to exertion, or from exacerbation of a known underlying disease. Trauma was directly fatal (n = 4: vascular trauma in 1, head injury in 2, drowning in 1), exacerbated an underlying medical condition (n = 1: hypertrophic obstructive cardiomyopathy), or followed collapse from underlying organic disease (n = 1: drowning in epilepsy). Deaths after exertion occurred when there was an unexpected response to underlying occult disease (n = 4: aortic stenosis in 1, cerebral arteriovenous malformation in 1, hypertrophic obstructive cardiomyopathy in 1, coronary atherosclerosis in 1) or to preexisting known disease (n = 2: surgically corrected transposition of the great vessels in 1, asthma in 1). The fatal episodes often resulted from a complex interplay of a variety of factors, including physical exertion, possible trauma, and underlying organic disease. Testing of other family members may be indicated in cases where a rare, possibly familial, disease is found. Evaluation of cases required descriptions of activities before death, information from the medical history of the deceased, and detailed findings from the autopsy. |
Keywords: | Humans Death, Sudden Exercise Risk Factors Sports Adolescent Child Female Male Physical Exertion |
DOI: | 10.1097/00000433-200212000-00013 |
Published version: | http://dx.doi.org/10.1097/00000433-200212000-00013 |
Appears in Collections: | Aurora harvest 6 Pathology publications |
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