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Factors associated with high-intensity physical activity and sudden cardiac death in hypertrophic cardiomyopathy

Heart BMJ

Background High-intensity physical activity has traditionally been discouraged in patients with hypertrophic cardiomyopathy due to concerns about triggering sudden cardiac death. However, current guidelines adopt a more liberal stance, and evidence on risk factors for exercise-related sudden cardiac death remains limited.

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Spontaneous Coronary Artery Dissection: A Focus on Post-Dissection Care for the Vascular Medicine Clinician

Frontiers in Cardiovascular Medicine

SCAD can cause acute coronary syndrome and myocardial infarction (MI), as well as sudden cardiac death. Spontaneous coronary artery dissection (SCAD) is an uncommon condition which is increasingly recognized as a cause of significant morbidity. The standard of care for patients with SCAD is rapidly evolving.

SCAD 137
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The Risks and Benefits of 'Too Much' Exercise

Physiologically Speaking

These numbers indicate rising participation — an increase in people involved in chronic endurance exercise training for the sake of competition and health. A list of the causes of death reveals an underlying pattern. Many, but not all, are cardiac-related issues (i.e., ” Isn’t exercise good for us? .”

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HCM Research Explores SCD Risk Stratification, High Intensity Exercise, and Benefits of Valsartan

American College of Cardiology

Although the 2024 ACC/American Heart Association (AHA) and 2023 European Society of Cardiology (ESC) guidelines stratify well overall the risk of sudden cardiac death (SCD) in patients with hypertrophic cardiomyopathy (HCM).

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Understanding the Difference Between Heart Attack and Cardiac Arrest

MIBHS

Unlike a heart attack, cardiac arrest is an electrical malfunction that causes the heart to stop beating suddenly. Without immediate intervention, sudden cardiac death can occur within minutes. This results in a failure to pump blood to the brain and other vital organs.

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A Pilot Study of “Burst” Exercise Testing in Hypertrophic Cardiomyopathy

HeartRhythm

Hypertrophic cardiomyopathy (HCM)-related sudden cardiac death (SCD) rates with contemporary management are low; however, high-intensity exercise can induce fatal arrhythmias in HCM patients. Thus, current guidelines recommend avoiding high-intensity exercise in HCM patients at high risk for SCD1,2.

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Return-to-Work for Patients in High-RiskProfessions Diagnosed with a Sudden Cardiac Death-Predisposing Genetic Heart Disease

HeartRhythm

Such professions involve intense exercise, increased risk, or situations where syncope could pose a risk, also to others. Akin to athletes, there are high-risk professions for which employers have struggled to combine on-the-job safety with the diagnosis of a genetic heart disease (GHD).