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2016 ; 4
(2
): 97-100
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Sudden Death Following Exercise; a Case Series
#MMPMID27274521
Najari F
; Alimohammadi A
; Ghodrati P
Emerg (Tehran)
2016[Spr]; 4
(2
): 97-100
PMID27274521
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INTRODUCTION: Natural and unexpected death that happens within less than one hour
of first symptom occurrence is called sudden death. Cardiovascular diseases are
the main known reason of sudden death and more than 75% of sudden deaths in
athletes are assigned to it. Here we reported the autopsy results of all cases
with sudden death following exercise that were referred to forensic center of
Tehran, Iran, from 2009 to 2014. METHODS: In this cross sectional study all
subjects who were registered to forensic medicine center of Tehran, Iran, from
2009 to 2014, as a case of sudden death following exercise were evaluated.
Demographic data and medical history as well as autopsy and toxicology findings
were retrospectively gathered using profiles of the deceased. Results were
reported using descriptive analysis. RESULTS: 14 cases were registered as sudden
death following exercise in forensic medicine profiles during the study period.
Exploring the files of the mentioned deceased, revealed five non-compatible cases
in this regard. Finally, 9 eligible cases were enrolled (88.9% male). The mean
age of the deceased was 28.66 ± 10.86 years (range: 7 - 40). Toxicological tests
were available for 7 cases, one of which was positive for tramadol. Sudden death
following football was reported most frequently (44.4%). Only 3 (33.3%) cases had
herald signs such as chest pain, syncope, or loss of consciousness. 1 case
(11.11%) had a positive history of sudden death in relatives. CONCLUSION:
Although most sudden death victims are asymptomatic until the event, all those
who suffer from symptoms such as chest pain, shortness of breath, dizziness,
fatigue and irregular heart rate during physical activities, should be screened
regarding common probable causes of sudden death.
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