These 4 Heart Problems Are Often Blamed for Sudden Death in Young People
Although thankfully very rare, sudden cardiac arrest (SCA) claims the lives of an estimated 6,000-8,000 individuals under the age of 35 each year (Sudden Cardiac Arrest Foundation). While a vast majority of the more than 356,000 cardiac arrests that are recorded each year occur in adults over the age of 35 who suffer from coronary artery disease, these numbers are still something to be concerned about. The Mayo Clinic estimates that perhaps 1 in every 50,000 SCA deaths a year occurs in young athletes.
While it’s uncommon, and millions of elementary, high school, and collegiate athletes compete each year without incident, SCA can happen at any time and to anyone. If you think that you or your child might be at risk of sudden death, be sure to talk to your doctor about precautions you can take.
What Causes Sudden Cardiac Arrest in Young People?
Causes of SCA in children and young adults vary; however, most often death is a result of genetic heart abnormalities, structural abnormalities, or commotio cordis.
Hypertrophic Cardiomyopathy (HCM)
Typically an inherited condition, HCM causes the heart muscle cells to enlarge and which then causes the walls of the ventricle (usually the left ventricle) to thicken. This may block the blood flow out of the ventricle — if this occurs, it’s called obstructive HCM.
Non-obstructive HCM, according to the American Heart Association, “can affect the heart’s mitral valve, causing blood to leak backward through the valve. Sometimes, the thickened heart muscle doesn’t block blood flow out of the left ventricle. This is referred to as non-obstructive hypertrophic cardiomyopathy. The entire ventricle may thicken, or the thickening may happen only at the bottom of the heart. The right ventricle also may be affected.”
HCM is very common and affects men and women equally. Often, people who have HCM experience no warning signs or symptoms. Others may experience shortness of breath ordisruptions to the heart’s electrical system which can lead to fast or irregular heartbeats (arrhythmias) and may result in SCA. Although usually not fatal, HCM it often goes undetected and is the most common cause of heart-related sudden death in people under 30.
Congenital Coronary Artery Abnormalities
Occasionally people are born with unusual or abnormal heart arteries. If this occurs, arteries may become compressed during exercise and not provide adequate blood flow to the heart.
Long QT Syndrome
Long QT syndrome, caused by abnormalities of proteins in the heart, is also an inherited heart rhythm disorder that may lead to fainting and can cause life-threatening arrhythmias. People with long QT syndrome are at an increased risk for suffering from cardiac arrest. Nearly half of the individuals with long QT never exhibit a symptom of the abnormality. Although there is no cure, medication may help (SADS Foundation).
We discussed commotio cordis at length in March, but in a nutshell, this rare cause of sudden cardiac death can occur in anyone. Because it occurs as the result of a blunt blow to the chest, which can cause ventricular fibrillation, athletes are especially susceptible. The average age of athletes who suffer from sudden cardiac arrest is just 17 and more than two-thirds of young athletes who die suddenly are basketball and football players. Baseball, softball, hockey, and lacrosse players, however, are also especially susceptible to commotio cordis.
What are the Warning Signs of Heart Problems in Young People?
Unfortunately, sudden cardiac death often occurs with no warning or indication. However, if you or your child experience dizziness or unexplained fainting during physical activity, it could be an indication that the heart isn’t working properly. Likewise, if you or your child experience shortness of breath or chest pain, speak to your doctor immediately!
Finally, if there’s a family history of sudden cardiac death or unexplained deaths before the age of 50, you may want to discuss cardiac screening options with your physician.
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