Meanwhile, the sudden cardiac death of a nonathlete who dies in their home, away from cameras and journalists, does not gain much attention at all. The cardiology community is faced with the challenge of providing a sensible strategy for the prevention of SCD while simultaneously reaffirming that the benefits of regular exercise far outweigh potential risks. [(1)] provides a valuable occasion for revisiting the difficult task of assigning a potential primary cause and determining the etiology in cases of sudden cardiac death (SCD). These tragedies are highly publicized and generate considerable attention in the local community, which may then commit significant financial resources to prevent future events. A 10-year study was done in the US (2002 to 2011) to determine the incidence of sudden death in collegiate athletes around age 20. Sudden cardiac death during exercise is rare and is most commonly due to hypertrophic cardiomyopathy (younger athletes) and coronary artery disease (older athletes). Incidence of Sudden Cardiac Death in Athletes. Assigning a primary cause usually involves guesswork, and determining the etiology can Sudden death in athletes is a rare but tragic occurence. Sudden Cardiac Death Athletes Epidemiology High school and college women 1/769,000 High school and college men 1/133,000 High school men 0.66/100,000 College men 1.45/100,000 Males> age 40 1/15,000 Risk of SCD increases 8-56X with exercise Estes NAM, Wang PJ, Salem D, Sudden Death in the Athlete, Futura, 1997 7. Sudden cardiac death (SCD) in an apparently healthy athlete is a tragic event, counterintuitive to the common association between athletic activity and good health. Hypertrophic cardiomyopathy and congenital coronary anomalies are … Sudden cardiac death in athletes: the Lausanne Recommendations Karin Bille, David Figueiras, Patrick Schamasch, Lukas Kappenberger, Joel I. Brenner, Folkert J. Meijboom, and Erik J. Meijboom European Journal of Cardiovascular Prevention & Rehabilitation 2006 13 : 6 , 859-875 The scale of the problem of SCD in athletes is difficult to define, as calculating the precise number of cases (numerator) and defining the exact reference population (denominator) is challenging in the absence of compulsory national or international registries. The report by Finocchiaro et al. Congenital cardiovascular abnormalities, usually asymptomatic and often undiagnosed during life, are the main causes in young athletes. Sudden cardiac death in young athletes is rare but tragic. Screen younger participants (children through young adults) with history and physical examination; those with abnormal findings or positive family history typically have ECG and/or echocardiography.