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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.