Mysterious heart disease in football

An unusual number of professional and amateur soccer players have recently collapsed. 

Irrespective of age, heart muscle inflammation (myocarditis) is considered a risk factor.

Berlin- The professional player Sergio Aguero from FC Barcelona will be out for at least three months. The 33-year-old was substituted with breathing problems in the game against Deportivo Alavés. He clutched his chest and was taken to a hospital. He is now being treated by a cardiologist for heart problems. At the European Championship, the player Christian Eriksen collapsed in front of the cameras. Diagnosis: cardiac arrest. Ericsen survived. The two professionals are just two examples of many footballers who are struggling with heart problems, some of which are life-threatening.

vaccinations and footballHeart disease in football? There is no mystery, there are facts

DFB doctor Tim Meyer said after Eriksen's collapse: "Even the best screening examination is not perfect, so things like this can still happen. That is why there is the second line of prevention and that is the presence of the emergency doctors on the sidelines.” However, this system cannot prevent all life-threatening or even fatal cases.

In the past few weeks and months, emergency situations have repeatedly arisen:

According to the German Heart Foundation: "Depending on the study, there are between 0.7 and 3.0 deaths per 100,000 athletes per year." According to the experts, men are more frequently affected than women: "According to data from the German register for sudden cardiac death in Sport (Sudden Cardiac Death Register, SCD Germany), 96% of the affected athletes are men,” according to the foundation. As to the causes, it is said that sudden cardiac death during sport has “different triggers”.

Causes differ depending on the age of those affected

The causes differ depending on the age of those affected. “In people under the age of 35, diseases of the heart muscle, the heart valves, the main artery (aorta) and the coronary arteries are among the possible triggers. Changes in the genome can, for example, lead to thickening of the muscles in the left ventricle (hypertrophic cardiomyopathy). Diseases, in particular of the right ventricle (arrhythmogenic (right ventricular) cardiomyopathy) can also be the cause of sudden cardiac death," says the Heart Foundation.

In people over 35, on the other hand, coronary heart disease is the most common cause of sudden cardiac death at around 80 percent. Coronary arteries narrow more and more due to deposits (plaques) of cholesterol, connective tissue and calcium. If these plaques rupture, blood clots sometimes form and the blood vessel is completely blocked.” This leads to a heart attack, which “can be associated with life-threatening cardiac arrhythmias”.

Irrespective of age, inflammation of the heart muscle (myocarditis) is another risk factor. "It can already occur in the course of banal virus infections, even without causing symptoms," says the German Heart Foundation. And further: "However, these inflammatory changes can lead to life-threatening cardiac arrhythmias."