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Canadian Journal of Cardiology

Sport, Myocarditis, and Sudden Death: A Perfect Storm?

Published:September 20, 2022DOI:https://doi.org/10.1016/j.cjca.2022.09.014
      Sudden unexpected death, in a young active individual, is always tragic, surprising, and difficult to rationalise. It encompasses the complex intersection of real-time mass communication of rare events, concerns about cardiac consequences of a viral pandemic, and the private and public emphasis on sports and physical activity. Recent studies and news items have highlighted concerns about the potential links between myocarditis and sudden death in athletes, especially when potentially related to COVID-19 infection or vaccination. A Google search on “COVID-19, sudden death, and sport” yields 29,400,000 results (in 0.67 seconds). Untying this difficult and emotionally laden Gordian knot requires a careful assessment of the available evidence, understanding the limitations of our ability to obtain accurate information, and an evaluation of absolute and relative risks of rare and serious events.
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