Question of the Week # 202

202) A 36 year old male athlete is rushed to the Emergency Room after he collapsed during a soccer game.  In the Emergency Room, he is found to be in cardiac arrest  and cardio-pulmonary resuscitation is begun as per ACLS protocol. There is no history of trauma during the game. As per his brother, the patient does not have any history of hypertension or diabetes or known cardiac disease.There is no family history of sudden cardiac death.  Which of the following is the most common cause of sudden cardiac death in athletes with a clinical profile similar to this patient?

A) Aortic dissection

B) Idiopathic

C) Coronary artery disease

D) Hypertrophic Obstructive Cardiomyopathy

E) Valvular Heart Disease

5 Responses

  1. d

  2. D…..HCM is the single greatest cause of SCD in young athletes and, hence, is the major entity for which to screen during the physical examination of an athlete

  3. D:)

  4. I would disagree. My answer would be C.
    Extra thinking; what’s the difference between this one and 201? It is the age.
    the most common cause for sudden death in adult over the age of 30 is coronary artery atheroma. http://en.wikipedia.org/wiki/Sudden_cardiac_death

    Correct me if I am wrong

    • Thank you for the insight! I think a lot of us didn’t realize the age of this patient – I know I didn’t.

      http://www.revespcardiol.org/en/causas-muerte-subita-asociada-al/articulo/13032016/

      >30: coronary atheromatous changes
      <30: HCM

      Both groups, LVH was second most common.

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