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Volume 349:2464-2465 December 18, 2003 Number 25
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Sudden Death in Young Athletes

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by Maron, B. J.
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To the Editor: In his article on sudden death in young athletes (Sept. 11 issue),1 Maron includes a discussion of commotio cordis, in which he illustrates and describes a blow directly over the heart as an initiator of ventricular tachyarrhythmias. Although he discusses the necessity for protective precordial guards, there is no mention of the specific need to avoid direct strikes to the area over the heart as a means of prevention.

Athletes training in the martial arts and other combat-like sports can be trained to "miss" the precordium. This preventive measure is pertinent, as these sports (including karate, kung . . . [Full Text of this Article]



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