Daniele Andreini, head of Sports Cardiology and the Cardiovascular Radiology and CT Scan Unit at the Monzino Cardiology Center in Milan, was interviewed by Gazzetta dello Sport and tried to shed some light on what happened yesterday a Christian Eriksen.
How is it possible that such things happen to supercontrolled professional athletes like Eriksen?
“At first glance there was talk of syncope, but it is not appropriate because syncope is a short loss of consciousness with an autonomous recovery. Here, on the other hand, the athlete was rescued by his teammates and doctors, he received a cardiac message. We are facing an arrest that could possibly be due to a ventricular arrhythmia, to a sustained tachycardia. This can happen, despite the controls. And in Italy the controls are strict, more than in other European countries, not to mention the States. United “.
What pathologies can escape?
“I am thinking of arrhythmogenic cardiomyopathy, but also of diseases related to the electrical activity of the heart, which can manifest themselves for the first time in a dramatic way without prodrome”.
How do you deal with cases like the one that happened to Eriksen?
“Certainly a heart massage was done. The” wall “that the companions made in an appropriate manner to protect the boy’s privacy did not show whether the defibrillator was also used. In any case, the intervention was super-timely, since during the first rescue maneuvers it was 10-15 “. The patency of the airways was correctly checked at the beginning, and then the massage was started”.
Is this the reason why Eriksen already seemed conscious by leaving the field on a stretcher, and was able to speak later?
“In the case of a stopped heart, there is no blood perfusion towards the organs. It must therefore be guaranteed mechanically, and the sooner it starts, the easier it is for the arrhythmia to stop and above all there are no relics, that is, posthumous damage”.
Based on yesterday’s signs of recovery, is it already possible to hypothesize whether Eriksen will be able to return to physical activity and maybe play?
“Hard to say at the moment. Cardiac arrest, if that is what it is, usually does not occur in a healthy heart. Basically there is often an organic heart disease underlying arrhythmias. It is necessary to reconstruct the sequence of events, but often in these cases there is a relevant cause that jeopardizes the return to activity “.
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