Abstract
A 19-year-old African-American male basketball player had trained and competed intensively for at least 5 years without having cardiovascular signs or symptoms. He excelled at this sport and was the star of his high-school basketball team.
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References
Maron BJ, Roberts WC, McAllister HA, Rosing DR, Epstein SE. Sudden death in young athletes. Circulation. 1980;62(2):218–229.
Frescura C, Basso C, Thiene G, et al. Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease. Hum Pathol. 1998;29:689–695.
Corrado D, Basso C, Rizzoli G, Schiavon M, Thiene G. Does sports activity enhance the risk of sudden death in adolescents and young adults? J Am Coll Cardiol. 2003;42:1959–1963.
Maron BJ. Sudden death in young athletes. N Engl J Med. 2003;349:1064–1075.
Mirchandani S, Phoon CK. Management of anomalous coronary arteries from the contralateral sinus. Int J Cardiol. 2005;102:383–389.
Maron BJ, Thompson PD, Ackerman MJ, et al; American Heart Association Council on Nutrition, Physical Activity, and Metabolism. Recommendations and considerations related to preparticipation screening for cardiovascular abnormalities in competitive athletes: 2007 update: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation. Circulation. 2007;115:1643–1655.
Cheitlin MD, De Castro CM, McAllister HA. Sudden death as a complication of anomalous left coronary origin from the anterior sinus of Valsalva, a not-so-minor congenital anomaly. Circulation. 1974;50:780–787.
Maron BJ, Thompson PD, Puffer JC, et al. Cardiovascular preparticipation screening of competitive athletes. A statement for health professionals from the Sudden Death Committee (clinical cardiology) and Congenital Cardiac Defects Committee (cardiovascular disease in the young), American Heart Association. Circulation. 1996;94:850–856.
Taylor AJ, Byers JP, Cheitlin MD, Virmani R. Anomalous right or left coronary artery from the contralateral coronary sinus: “high-risk” abnormalities in the initial coronary artery course and heterogeneous clinical outcomes. Am Heart J. 1997;133:428–423.
Angelini P, Velasco JA, Flamm S. Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation. 2002;105:2449–2454.
Angelini P, Walmsley RP, Libreros A, Ott DA. Symptomatic anomalous origination of the left coronary artery from the opposite sinus of valsalva. Clinical presentations, diagnosis, and surgical repair. Tex Heart Inst J. 2006;33:171–179.
Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies. J Am Coll Cardiol. 1992;20:640–647.
Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol. 2000;35:1493–1501.
Angelini P. Normal and anomalous coronary arteries: definitions and classification. Am Heart J. 1989;117:418–434.
Angelini P, Villason S, Chan AV, Diez JG. Normal and anomalous coronary arteries in humans. In: Angelini P, ed. Coronary Artery Anomalies. Philadelphia, PA: Lippincott, Williams & Wilkins; 1999:27–150.
Roberts WC. Congenital coronary arterial anomalies unassociated with major anomalies of the heart and great vessels. In: Roberts WC, ed. Adult Congenital Heart Diseases. Philadelphia, PA: Davis Co; 1987:583–663.
Angelini P, Flamm SD. Newer concepts for imaging anomalous aortic origin of the coronary arteries in adults. Catheter Cardiovasc Interv. 2007;69:942–954.
Cheitlin MD. Finding asymptomatic people with a coronary artery arising from the wrong sinus of valsalva: consequences arising from knowing the anomaly to be familial. J Am Coll Cardiol. 2008;51:2065–2067.
Eckart RE, Scoville SL, Campbell CL, et al. Sudden death in young adults: a 25-year review of autopsies in military recruits. Ann Intern Med. 2004;141:829–834.
Tomanek RJ. Formation of coronary vasculature during development. Angiogenesis. 2005;8:273–284.
Gersony WM. Management of anomalous coronary artery from the contralateral sinus. J Am Coll Cardiol. 2007;50:2083–2084.
Corrado D, Pelliccia A, Bjørnstad HH, et al; Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J. 2005;26:516–524.
Basso C, Frescura C, Corrado D, et al. Congenital heart disease and sudden death in the young. Hum Pathol. 1995;26:1065–1072.
Dimopoulos K, Di Mario C, Barlis P, et al. Haemodynamic significance of an anomalous right coronary with inter-arterial course assessed with intracoronary pressure measurements during dobutamine challenge. Int J Cardiol. 2008;126:e32–e35.
Waller BF, Hawley DA, Clark MA, Pless JE. Incidence of sudden athletic deaths between 1985 and 1990 in Marion County, Indiana. Clin Cardiol. 1992;15:851–858.
Maron BJ, Pelliccia A. The heart of trained athletes: cardiac remodeling and the risks of sports, including sudden death. Circulation. 2006;114:1633–1644.
Glover DW, Glover DW, Maron BJ. Evolution in the process of screening United States high school student-athletes for cardiovascular disease. Am J Cardiol. 2007;100:1709–1712.
Budoff MJ, Ahmed V, Gul KM, Mao SS, Gopal A. Coronary anomalies by cardiac computed tomographic angiography. Clin Cardiol. 2006;29:489–493.
Taylor AJ, Farb A, Ferguson M, Virmani R. Myocardial infarction associated with physical exertion in a young man. Circulation. 1997;96:3201–3204.
Devanagondi R, Brenner J, Vricella L, Ravekes W. A tale of two brothers: anomalous coronary arteries in two siblings. Pediatr Cardiol. 2008;29:816–819.
Iskandar EG, Thompson PD. Exercise-related sudden death due to an unusual coronary artery anomaly. Med Sci Sports Exerc. 2004;36:180–182.
Maron BJ, Poliac LC, Roberts WO. Risk for sudden cardiac death associated with marathon running. J Am Coll Cardiol. 1996;28:428–431.
Crawford MH. Screening athletes for heart disease. Heart. 2007;93:875–879.
Pelliccia A, Spataro A, Maron BJ. Prospective echocardiographic screening for coronary artery anomalies in 1,360 elite competitive athletes. Am J Cardiol. 1993;72:978–979.
Pelliccia A. Congenital coronary artery anomalies in young patients: new perspectives for timely identification. J Am Coll Cardiol. 2001;37:598–600.
Davis JA, Cecchin F, Jones TK, Portman MA. Major coronary artery anomalies in a pediatric population: incidence and clinical importance. J Am Coll Cardiol. 2001;37:593–597.
Maron BJ, Leon MB, Swain JA, Cannon RO 3rd, Pelliccia A. Prospective identification by two-dimensional echocardiography of anomalous origin of the left main coronary artery from the right sinus of Valsalva. Am J Cardiol. 1991;68:140–142.
Maron BJ, Gohman TE, Aeppli D. Prevalence of sudden cardiac death during competitive sports activities in Minnesota high school athletes. J Am Coll Cardiol. 1998;32:1881–1884.
Corrado D, Basso C, Pavei A, Michieli P, Schiavon M, Thiene G. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA. 2006;296:1593–1601.
Lotfi K, White L, Rea T, et al. Cardiac arrest in schools. Circulation. 2007;116:1374–1379.
Harris KM, Sponsel A, Hutter AM, Maron BJ. Brief communication: cardiovascular screening practices of major North American professional sports teams. Ann Int Med. 2006;145:507–511.
Chaitman BR. An electrocardiogram should not be included in routine preparticipation screening of young athletes. Circulation. 2007;116:2610–2614.
Lawless CE, Best TM. Electrocardiograms in athletes: interpretation and diagnostic accuracy. Med Sci Sports Exerc. 2008;40:787–798.
Myerburg RJ, Vetter VL. Electrocardiograms should be included in preparticipation screening of athletes. Circulation. 2007;116:2616–2626.
Frommelt PC, Frommelt MA, Tweddell JS, Jaquiss RD. Prospective echocardiographic diagnosis and surgical repair of anomalous origin of a coronary artery from the opposite sinus with an interarterial course. J Am Coll Cardiol. 2003;42:148–154.
Lawless CE, Best TM. Electrocardiograms in athletes: interpretation and diagnostic accuracy. Med Sci Sports Exerc. 2008;40:787–798.
Liberman L, Pass RH, Kaufman S, Hordof AJ, Printz BF, Prakash A. Left coronary artery arising from the non-coronary sinus: a rare congenital coronary anomaly. Pediatr Cardiol. 2005;26:672–674.
Caracciolo EA, Davis KB, Sopko G, et al. Comparison of surgical and medical group survival in patients with left main coronary artery disease. Long-term CASS experience. Circulation. 1995;91:2325–2334.
SOS-KANTO study group. Cardiopulmonary resuscitation by bystanders with chest compression only (SOS-KANTO): an observational study. Lancet. 2007;369:920–926.
Bobrow BJ, Clark LL, Ewy GA, et al. Minimally interrupted cardiac resuscitation by emergency medical services for out-of-hospital cardiac arrest. JAMA. 2008;299:1158–1165.
Peberdy MA, Ornato JP. Progress in resuscitation: an evolution, not a revolution. JAMA. 2008;299:1188–1190.
Angelini P. Surgical standby: state of the art. In: Topol EJ, ed. Textbook of Interventional Cardiology. Philadelphia, PA: Saunders; 2008:541–548.
Maron BJ, Isner JM, McKenna WJ. 26th Bethesda conference: recommendations for determining eligibility for competition in athletes with cardiovascular abnormalities. Task Force 3: hypertrophic cardiomyopathy, myocarditis and other myopericardial diseases and mitral valve prolapse. J Am Coll Cardiol. 1994;24:880–885.
Thompson PD, Franklin BA, Balady GJ, et al; American Heart Association Council on Nutrition, Physical Activity, and Metabolism; American Heart Association Council on Clinical Cardiology; American College of Sports Medicine. Exercise and acute cardiovascular events placing the risks into perspective: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism and the Council on Clinical Cardiology. Circulation. 2007;115:2358–2368.
Maron BJ, Douglas PS, Graham TP, Nishimura RA, Thompson PD. Task Force 1: preparticipation screening and diagnosis of cardiovascular disease in athletes. J Am Coll Cardiol. 2005;45:1322–1326.
Brothers JA, Stephens P, Gaynor JW, Lorber R, Vricella LA, Paridon SM. Anomalous aortic origin of a coronary artery with an interarterial course: should family screening be routine? J Am Coll Cardiol. 2008;51:2062–2064.
Angelini P, Velasco JA, Ott D, Khoshnevis GR. Anomalous coronary artery arising from the opposite sinus: descriptive features and pathophysiological mechanisms, as documented by intravascular ultrasonography. J Invasive Cardiol. 2003;15:507–515.
Virmani R, Chun PK, Goldstein RE, Robinowitz M, McAllister HA. Acute takeoffs of the coronary arteries along the aortic wall and congenital coronary ostial valve-like ridges: association with sudden death. J Am Coll Cardiol. 1984;3:766–771.
Acknowledgments
The author thanks Virginia Fairchild of the Texas Heart Institute’s Department of Scientific Publications for editorial assistance in preparing this chapter. He also thanks Melissa Mayo and Isabel Vasquez of the Texas Heart Institute’s Visual Communications Services for help in preparing the figures.
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Angelini, P. (2011). Coronary Artery Anomalies and Sports Activities. In: Lawless, C. (eds) Sports Cardiology Essentials. Springer, New York, NY. https://doi.org/10.1007/978-0-387-92775-6_15
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