Mumbai marathon participant suffered sudden collapse after crossing finish line.


Mumbai marathon participant suffered sudden collapse after crossing finish line.
Deepali
HealthBuddie
Mumbai marathon participant suffered sudden collapse after crossing finish line.

Mumbai marathon participant suffered sudden collapse after crossing finish line.

Two half marathon runners,participant in Mumbai marathon had to be rushed to Bombay Hospital after one suffered a cardiac arrest and another a stroke.

 Research estimates 0.5 to 2 deaths per 100,000 marathon runners in a given race.The risk of death in marathon runners is far lower than in the majority of daily activities.The RACER study found  1 cardiac arrest per 184,000 participants and 1 death per 259,000 participants of long-distance running in the USA.The study concluded that marathons and half-marathons are associated with a low overall risk of cardiac arrest and sudden death. It provides a number of new insights into marathon-related cardiac arrests.

  1. Men were more likely than women to have cardiac arrest and sudden death.
  2. Incidence of cardiac arrest and death was 3-4 times higher for marathons than the rates for half-marathons.
  3. Hypertrophic cardiomyopathy  was  a leading cause of death in this population.Hypertrophic cardiomyopathy (HCM) is a disease in which muscle of the heart becomes abnormally thick.

Cause of exercise related collapse:

  • Orthostatic hypotension due to Pooling of blood in lower extremities on standing,
  • Dehydration,
  • Hyponatremia due to drinking of large quantities of fluid without salt supplement diluting the sodium in body.
  • Heart conditions such as hypertrophic cardiomyopathy.

Treatment of Exercise associated collapse is usually symptomatic and involves oral hydration and a Trendelenburg position( the body is laid supine, or flat on the back with the feet higher than the head by 15-30 degrees).More advance therapy such as total body cooling or intravenous hydration are generally not required.

Image source:timesofindia