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- A Schuchert, K Püschel, W Kupper, H Schäfer, and W Bleifeld.
- Abteilung Kardiologie, Universitätskrankenhaus Eppendorf, Hamburg.
- Z Kardiol. 1989 Apr 1;78(4):276-80.
AbstractSudden cardiac death during running is mainly caused by an acute myocardial infarction and coronary artery disease. Other diseases like myocarditis are rarely documented. Before a marathon a 37-year-old, well-trained long-distance runner had normal findings at a sports medical consultation. During the race he collapsed after 41 km and died despite of immediate resuscitation attempts. At autopsy a 50% stenosis of the descending branch of the left coronary artery, and histologically an active myocarditis were observed (Dallas-classification). The endured extreme stress of the marathon probably resulted in arrhythmias and in sudden cardiac death.
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