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Correspondence
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Volume 333:1784-1785 December 28, 1995 Number 26
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Sudden Death during Sports Activities

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 by Estes, N.A. M.
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 by Maron, B. J.
To the Editor: Maron et al. (Aug. 10 issue)1 speculate that a blunt precordial blow may cause sudden death in young athletes by inducing ventricular dysrhythmias. This is not the only mechanism by which such a blow may cause severe cardiac dysfunction. We recently evaluated a 19-year-old man who had a massive myocardial infarction following minimal chest trauma. He sustained two blows to the chest during a game of tackle football. One hour later, severe chest pain developed, accompanied by nausea, diaphoresis, and dyspnea. At the hospital, he was noted to have congestive cardiac failure, with echocardiographic and electrocardiographic evidence . . . [Full Text of this Article]

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