Sports and exercise medicine

Over the years, sports medicine has expanded to include not only competitive athletes, but also anyone who exercises (amateur or professional). Although sport can impart heroic fitness to athletes, there is a risk of sport-related sudden cardiac death. The societal and media response to these tragic athlete deaths is garnering negative publicity, although the overall benefits of exercise outweigh the risks. Generally, sudden cardiac death is triggered by a malignant tachyarrhythmia such as ventricular fibrillation (VF) or ventricular tachycardia degenerating into VF. There is usually an underlying substrate for triggering the arrhythmia, such as hypertrophic cardiomyopathy, channelopathies, arrhythmogenic cardiomyopathy, or congenital coronary artery anomalies, among others.

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