Olympics Lecture

Question 1

Some examples of causes of CA on field of play?

Answer 1

HCM
Commotio Cordis
Coronary artery anomalies

ARVC
CAD?
Valvular heart disease
Myocarditis
Drug abuse - dietary supplements, anabolic steroids, cocaine.

Question 2

Describe pathology in HCM?

Answer 2

Asymmetrically hypertrophied, non-dilated LV

Question 3

Pathology in ARVC?

Answer 3

Progressive fibro-fatty replacement of right ventricular myocardium, regional LV -> global RV -> some LV

Question 4

Sudden “non-cardiac” death causes?

Answer 4

• Extreme hyperthermia
• Trauma - head and spine
• Uncontrolled bronchial asthma
• Ruptured cerebral aneurysm
  Sickle cell trait
  Drugs

Question 5

Commotio Cordis - what are chest impact parameters?

Answer 5

49 km/hr

20ms window - must hit in upstroke of T wave

Question 6

Sports safety - how many people are covered by?

• 1 crowd doctor?
• 1 first aider/1000
• 1 first aider/2000

Answer 6

• For >2000
• For <10,000
• For >10,000