Skip to main content
. 2021 Jan 20;55(18):1041–1047. doi: 10.1136/bjsports-2020-102921

Table 1.

Estimated annual mortality rate from sudden cardiac death in young athletes with HCM

Modellingassumptions:
  • Prevalence of HCM in the athlete population ranges from 1:2000 to 1:500 persons.

  • Supposing 500 000 athletes, the total number of athletes with HCM is 250–1000 persons.

  • Annual incidence rates cited include only SCD and do not include resuscitated cardiac arrest; thus actual rates of all life-threatening ventricular arrhythmias will be higher.

  • Proportion of SCD from HCM listed is based on autopsy confirmation or in vivo diagnosis.

Study and athlete population Annual incidence of SCD (athlete-years) Total Number of SCD Cases (in a population of
500000)
Proportion of SCD from HCM Number of Cases of SCD from HCM Annual mortality rate from HCM-related SCD
Maron et al 19
 College athletes 1:62 500 8 32.80% 2.6 0.26%–1.0%
 Black college athletes 1:26 315 19 44.70% 8.5 0.85%–3.4%
 White college athletes 1:142 857 3.5 44.70% 1.6 0.2%–0.6%
Harmon et al 1
 College athletes 1:53 703 9.3 8% 0.7 0.07%–0.3%
 Black college athletes 1:21 491 23.3 8% 1.9 0.2%–0.8%
 White college athletes 1:68 354 7.3 8% 0.6 0.06%–0.2%
 Division I male basketball 1:5200 96.2 8% 7.7 0.8%–3%
Maron et al 3 From the US national registry
 Black/minority athletes 1:12 778 39.1 42% 16.4 1.6%–6.6%
 White athletes 1:60 746 8.2 31% 2.6 0.3%–1.0%
Harmon et al 22
 Male high school athletes 1:68 742 7.3 14% 1 0.1%–0.4%
 Female high school athletes 1:316 679 1.6 14% 0.2 0.02%–0.08%
Malhotra et al 20
 Elite adolescent soccer (95% male)* 1:14 794 33.8 37.50% 12.7 1.3%–5.1%
Corrado et al 52
 Competitive athletes≤35 years old from Veneto region of Italy† 1:62 500 8 2% 0.2 0.02%–0.08%

*Study population underwent cardiovascular screening with ECG and echocardiogram at age 16 years.

†Study population underwent annual cardiovascular screening with ECG.

HCM, hypertrophic cardiomyopathy; SCD, sudden cardiac death.