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Emergency Action Plans (EAPs) Secondary prevention = survival Treat collapse + unresponsiveness as SCA → AED on immediately Target: collapse-to-shock <3 minutes Recent survival reports: ~48% to 89% EMS activation • CPR • Early defib • AED maintenance • Team rehearsal
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Anna Giulia Pavon
Sudden Cardiac Arrest in Athletes (SCA) ❤️What cardiologists should know (NEJM 2026) Rare • High-impact • Preventable outcomes Key takeaways: Incidence varies • Causes differ by age • EAPs save lives • RTP is evolving Link: www.nejm.org/doi/pdf/10.1... @NEJM
Disparities (sex-race) Risk is not evenly distributed Male athletes: 1/35,000–83,000 Female athletes: 1/93,000–323,000 College athletes: Black: 1/18,000 athlete-years White: 1/39,000 athlete-years HS survival after SCA: 51% (underrepresented groups) vs 76% (nonHispanic White)
Etiology (modern autopsy series, 11–39y) What causes SCD in young athletes? Approx. distribution: Autopsy-negative SUD: ~19% HCM: ~13% Coronary anomalies: ~11% ACM: ~10% CAD: ~8% Myocarditis-related: ~6% Aortic dissection: ~4% WPW: ~3% Note: ≥25y → CAD dominates.