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ISSN: 2165-8048

Internal Medicine: Open Access
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Case Report

Sudden Cardiac Death in a Female Triathlete: Complexities of Risk Stratification

Massimo Bolognesi1* and Jordan M Prutkin2
1Sports Cardiology Medicine Center, Internal General Medicine, Primary Care ASL 112 – District of Cesena, Cesena, Italy
2Division of Cardiology, University of Washington, Seattle, USA
*Corresponding Author : Massimo Bolognesi
Sports Cardiology Medicine Center
Internal General Medicine
Primary Care ASL 112 – District of Cesena
Cesena, Italy
Tel: +390547645074
E-mail: [email protected]
Received June 06, 2014; Accepted June 25, 2014; Published July 02, 2014
Citation: Bolognesi M, Prutkin JM (2014) Sudden Cardiac Death in a Female Triathlete: Complexities of Risk Stratification. Intern Med 4:161. doi:10.4172/2165-8048.1000161
Copyright: © 2014 Bolognesi M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

The prevention of sudden death in athletes is one the greatest challenges in sports cardiology. Early identification of athletes at high risk of sudden death can lead to difficult decisions such as restriction of competitive sports activity, but also treatment with medications and implantable cardioverter-defibrillator. We report a case of a 41-year-old female triathlete who had recurrent syncope during exercise with documented polymorphic ventricular tachycardia and nonspecific abnormalities on endomyocardial biopsy. Against medical advice, she continued to participate in athletic events and subsequently had a sudden cardiac death during a cycling event.

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