The Star Malaysia - Star2

Underlying causes

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HERE are some congenital heart conditions that may cause young athletes to suffer from a sudden cardiac death.

When these conditions are aggravated by intense physical activity, they may cause ventricula­r fibrillati­on (VF), where there is uncoordina­ted contractio­n of the cardiac muscles, making them seem to quiver instead of contract.

This leads to sudden death if not treated immediatel­y.

Long QT syndrome

This is basically when there is a disorder in the cardiac rhythm that can cause very quick or chaotic heartbeats. This is quite a rare inherited condition.

Steve Konowalchu­k, an American profession­al ice hockey player, retired in 2011 after a regular heart screening detected Long QT syndrome.

Arrhythmog­enic right ventricula­r dysplasia

ARVD is caused by genetic defects of parts of the heart muscles.

Several profession­al footballer­s have died from the condition – English player Matt Gadsby (age 27) collapsed on the pitch in 2006 and later died, American midfielder Kirk Urso (age 22) collapsed and died when out with friends in 2012, and Spanish internatio­nal player Antonio Puerta died (aged 22) three days after suffering several cardiac arrests in 2007.

Hypertroph­ic cardiomyop­athy

This is basically where the muscles in the heart are thickened and the heart is bigger than normal.

It causes disruption­s in the electrical functions of the heart. It is a leading cause of sudden cardiac death in young athletes.

Numerous profession­al athletes have died of this condition, the most famous of whom is perhaps Cameroon internatio­nal footballer MarcVivien Foe who collapsed on the pitch in 2003 (aged 28) and died shortly afterwards.

Several profession­al athletes have retired after regular heart screenings diagnosed them with the condition: American former basketball player Robert O’Kelley, English footballer Mitchell Cole (who later died from the condition in 2012, aged 27) and most recently former Arsenal and Watford goalkeeper Manuel Almunia, who retired in August this year.

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