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How the theory of centralized aerobic-anaerobic energy balance compensation explains sudden cardiac death in young athletes

Published:November 02, 2022DOI:https://doi.org/10.1016/j.ejim.2022.10.022
      This letter should be considered as a follow up comment to the recent publication in the European Journal of Internal Medicine on sudden cardiac death (SCD) in young athletes [
      • Modesti P.A.
      • et al.
      Sudden death in young athletes: Is it preventable?.
      ]. The issue of SCD in athletes appears periodically as a required solution enigma with deep historical roots [
      • Modesti P.A.
      • et al.
      Sudden death in young athletes: Is it preventable?.
      ]. It was noticed in the 1960s [
      • Jokl E.
      • Mc C.J.
      • Ross G.D.
      Congenital anomaly of left coronary artery in young arthlete.
      ] and firstly systematically analyzed in the 1980s [
      • Maron B.J.
      • et al.
      Sudden death in young athletes.
      ]. The most interesting fact is that the healthiest looking youngsters are the subjects of such cases [
      • Sharma S.
      • Whyte G.
      • McKenna W.J.
      Sudden death from cardiovascular disease in young athletes: fact or fiction?.
      ]. The observed recent increment in such cases [
      • Modesti P.A.
      • et al.
      Sudden death in young athletes: Is it preventable?.
      ] was logically attributed to the COVID-19 infection and vaccinations [
      • Maffetone P.B.
      • Laursen P.B.
      COVID-Related Athletic Deaths: Another Perfect Storm?.
      ], but left behind the consideration namely the reason for it. It was proposed to perform screening(s), but without understanding the parameters to collect this recommendation doesn't look solid enough to follow [
      • Angelini P.
      • et al.
      Young athletes: Preventing sudden death by adopting a modern screening approach? A critical review and the opening of a debate.
      ].

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