Myocardial Infarction in Young Athletes
Myocardial infarction (MI) in young athletes is very rare but can have serious consequences, including sudden cardiac death (SCD), an increased proarrhythmic burden in future life, and/or heart failure. We present two cases of young athletes with MI. They did not have previous symptoms, traditional...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/13/15/2473 |
| _version_ | 1827731301210259456 |
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| author | Mariusz Dotka Łukasz A. Małek |
| author_facet | Mariusz Dotka Łukasz A. Małek |
| author_sort | Mariusz Dotka |
| collection | DOAJ |
| description | Myocardial infarction (MI) in young athletes is very rare but can have serious consequences, including sudden cardiac death (SCD), an increased proarrhythmic burden in future life, and/or heart failure. We present two cases of young athletes with MI. They did not have previous symptoms, traditional risk factors, or a family history of MI. One case involves a 37-year-old male amateur athlete who experienced two MI following intense physical exertion, likely due to the erosion of an insignificant atherosclerotic plaque caused by a sudden increase in blood pressure during exercise. The second case describes a 36-year-old male semi-professional runner who collapsed at the finish line of a half-marathon and was diagnosed with hypertrophic cardiomyopathy. The heart’s oxygen demand–supply mismatch during intensive exercise led to MI. Following the case presentation, we discuss the most common causes of MI in young athletes and their mechanisms, including spontaneous coronary artery dissection, chest trauma, abnormalities of the coronary arteries, coronary artery spasm, plaque erosion, hypercoagulability, left ventricular hypertrophy, and anabolic steroids use. |
| first_indexed | 2024-03-11T00:29:33Z |
| format | Article |
| id | doaj.art-90f5f61984b64240b313e6ef8db1dd5c |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T00:29:33Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-90f5f61984b64240b313e6ef8db1dd5c2023-11-18T22:46:00ZengMDPI AGDiagnostics2075-44182023-07-011315247310.3390/diagnostics13152473Myocardial Infarction in Young AthletesMariusz Dotka0Łukasz A. Małek1Faculty of Medicine, Poznan University of Medical Sciences, 61-701 Poznań, PolandFaculty of Rehabilitation, University of Physical Activity in Warsaw, 01-968 Warsaw, PolandMyocardial infarction (MI) in young athletes is very rare but can have serious consequences, including sudden cardiac death (SCD), an increased proarrhythmic burden in future life, and/or heart failure. We present two cases of young athletes with MI. They did not have previous symptoms, traditional risk factors, or a family history of MI. One case involves a 37-year-old male amateur athlete who experienced two MI following intense physical exertion, likely due to the erosion of an insignificant atherosclerotic plaque caused by a sudden increase in blood pressure during exercise. The second case describes a 36-year-old male semi-professional runner who collapsed at the finish line of a half-marathon and was diagnosed with hypertrophic cardiomyopathy. The heart’s oxygen demand–supply mismatch during intensive exercise led to MI. Following the case presentation, we discuss the most common causes of MI in young athletes and their mechanisms, including spontaneous coronary artery dissection, chest trauma, abnormalities of the coronary arteries, coronary artery spasm, plaque erosion, hypercoagulability, left ventricular hypertrophy, and anabolic steroids use.https://www.mdpi.com/2075-4418/13/15/2473myocardial infarctionyoung athletessudden cardiac deathmechanismrisk factor |
| spellingShingle | Mariusz Dotka Łukasz A. Małek Myocardial Infarction in Young Athletes Diagnostics myocardial infarction young athletes sudden cardiac death mechanism risk factor |
| title | Myocardial Infarction in Young Athletes |
| title_full | Myocardial Infarction in Young Athletes |
| title_fullStr | Myocardial Infarction in Young Athletes |
| title_full_unstemmed | Myocardial Infarction in Young Athletes |
| title_short | Myocardial Infarction in Young Athletes |
| title_sort | myocardial infarction in young athletes |
| topic | myocardial infarction young athletes sudden cardiac death mechanism risk factor |
| url | https://www.mdpi.com/2075-4418/13/15/2473 |
| work_keys_str_mv | AT mariuszdotka myocardialinfarctioninyoungathletes AT łukaszamałek myocardialinfarctioninyoungathletes |