RT-171
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Sudden cardiac death in the
young:
substrates and triggers
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Gaetano Thiene, Cristina Basso,
Domenico Corrado.
Department of Pathology and Cardiology, University of Padua Medical School,
Padua, Italy.
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Abstract
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An explanation of sudden cardiac death is usually
found in chronic disease involving the aorta, coronary arteries, myo-cardium and
conduction system. Why cardiac arrest occurs in that precise moment and place is a matter
of controversy. Evidence is here given that acute cardiovascular injuries, frequently
precipitated by effort, superimpose to the chronic substrate and act as a trigger of
sudden death, both mechanical and arrhythmic.
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Key Words
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Sudden Death
young population, congenital anomaly, anomalous coronary artery origin, strenous exercise,
premature coronary atherosclerosis, vasospasm, triggers, right ventricular cardiomyopathy,
athletes, hypertrophic cardiomyopathy, WPW syndrome, aortic rupture, R
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