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irreverentad

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To be fair if you are going to have a heart attack, a Premier League football pitch is probably one of the best places to do it. The medical facilitys and staff available there are obviously top-notch.

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It wasn't a heart attack, it was a cardiac arrest. Apparently they're different. I don't know the details but some doctor was on about it on Sky Sports News.

Can anyone in the know elaborate?

I'm very worried about all of this. It sounds remarkably similar to what happened to Antonip Puerta. I really really hope it has a different outcome.

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To put it simply a heart attack is when there is improper blood flow to the heart and that can cause parts of it to die.

A cardiac arrest is when the heart muscle stops contracting and the heart can't pump blood and that means no oxygen to the brain.

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Speaking with the wife who's line of work is cardio-vascular based she's not optimistic at all based on the info we have so far

This has happened 6 or 7 times in the game now & it's usually a hereditary defect

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Hocum...

Fabrice Muamba is not the first to fall so dramatically unwell during a match – since the 19th century more than 80 footballers are known to have died suddenly while playing, all young men, all otherwise apparently fit and healthy. There is no secret why these sportsmen die or collapse: it is called hocum.

Hocum is the innocuous nickname for a deadly disorder: hypertrophic obstructive cardiomyopathy (HOCM). Young, fit athletes have hearts that are a little different from most people. Their well-exercised heart muscle has been reshaped to adapt to the stress of regular, vigorous training.

This remodelling of the heart is useful, as it helps to pump blood more effectively round the body. But in HOCM, a genetic abnormality causes the muscle wall of the heart to grow far thicker than it should. Repeated training makes the problem worse – the muscle wall can become so thick that it stops the normal flow of blood going in and out of the heart. This is where things get dangerous.

A heart that cannot pump blood properly causes problems that usually affect far older and far less healthy people. An athlete with HOCM might seem very fit but the heart is struggling like that of an unwell 80-year-old. Sudden strain, like a football match, demands an overwhelming effort. If he is lucky, shortness of breath or chest pain is a warning sign that something is wrong. But often the first signs of trouble are collapse or what doctors call sudden cardiac death.

The heart's ability to pump has been compromised so severely that it cannot beat in a co-ordinated way any more. If this happens in hospital, CPR and electric shocks from defibrillators might work to start the heart beating properly but it is still a very serious situation. If it happens on a football pitch, the outlook is more difficult but not impossible.

Sports doctors know the risks of HOCM. Only a small proportion – 0.2% — of the population are thought to be at risk of its effects. But the consequences of a missed diagnosis are tragic.

Across Europe there have been studies into sudden death in athletes and in Italy there is already a screening programme under way, where footballers are given simple heart tests to help detect the disease. In most people exercise is key to a long and healthy life.

In a very small minority it can kill. Pinpointing the people at risk is difficult but doctors are working to try to prevent this devastating condition from causing needless future deaths.

--

[The author] Dr Riddington works in the cardiology department at the Friarage hospital in Northallerton, Yorkshire

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Notable cases

After the death of Marc-Vivien Foé of Cameroon during a 2003 FIFA Confederations Cup match, his autopsy revealed hypertrophic cardiomyopathy. Miklós "Miki" Fehér, a Hungarian football player who died during a match on January 25, 2004, also suffered from HCM.

On December 10, 2008, NBA player Cuttino Mobley announced his retirement due to worsening HCM. The disease also ended the career of former Wake Forest star Robert O'Kelley, after a mandatory EKG in Brazil discovered his condition in 2006.

Other noted athletes believed or suspected to have died from HCM include NFL players Thomas Herrion, Mitch Frerotte, Gaines Adams, and Derrick Faison; NBA players Reggie Lewis, Jason Collier, and Kevin Duckworth; NHL player Sergei Zholtok; baseball pitcher Joe Kennedy; long distance runner Ryan Shay; Loyola Marymount basketball star Hank Gathers; Loyola Marymount soccer player David Kucera; Kansas State football player Anthony Bates; Russian ice hockey star Alexei Cherepanov; and American strongman Jesse Marunde.

The Ontario Hockey League's Mickey Renaud Captain's Trophy honors former Windsor Spitfires captain Mickey Renaud, who died of HCM at age 19.

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I think on the postponement it is absolutely the right thing to do, if for no other reason than prospects of the player - it's by no means clear how good his chances are - better to cancel the game now than have to do it much nearer kick off should the worst happen.

It sounds like he's got the best care available and that all the right things have been done - we can only hope that's enough.

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Remains in a critical condition tonight. So hoping he comes out of this.

Heart specialist on Sky saying he thinks Muamba may be suffering with hypertrophic cardio-myopathy - thickening of the heart muscle.

My friend's baby son with Noonam's syndrome who was given 48 hours to live shortly after he was born, by Alder Hey has the same condition. But his heart isn't getting any worse or any better with it so it's just been monitored - but they know it could give out at any point - so doctors have told them just to enjoy every day. He could live for many years with the condition or have a cardiac arrest tomorrow, no one knows.

He's 2 now & getting stronger all the time.

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So, with the 2 hour thing, i assume they will have been giving him oxygen. So does this mean he will avoid brain damage?

I suppose that it depends on how quickly they managed to get oxygen in him and to the brain. The fact that they managed to get his heart to start pumping by itself again after two hours KOed is a good sign that physically he'll recover.

An ex "brother in law" of mine once suffered a nasty car crash and underwent brain surgery with a 30% chance of survival and a 90% chance of brain damage even if he did. He's now recovered to the point where he's able to go out nicking cars again. So fingers crossed eh.

P.S. Sent you a PM, intrigued by something!

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Spoke to the Mrs, basically in short, if the paramedics got to him quickly enough on the pitch and delivered good CPR he can come through this ok

The cut off for the brain is about 4 mins without oxygen then there is a problem

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Remains in a critical condition tonight. So hoping he comes out of this.

Heart specialist on Sky saying he thinks Muamba may be suffering with hypertrophic cardio-myopathy - thickening of the heart muscle.

My friend's baby son with Noonam's syndrome who was given 48 hours to live shortly after he was born, by Alder Hey has the same condition. But his heart isn't getting any worse or any better with it so it's just been monitored - but they know it could give out at any point - so doctors have told them just to enjoy every day. He could live for many years with the condition or have a cardiac arrest tomorrow, no one knows.

He's 2 now & getting stronger all the time.

My aunt was recently diagnosed with it and she's in her late 60s so has been blissfully unaware. Maybe that'll give some added hope to your friend!

Other family members have had to be screened and so far, thankfully, everyone has been clear.

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Hope so NBV. I've known a couple of cases, like my Dad, who died before they'd even reached the floor due to heart failure. He died of cardiac myopathy but that was because of complications from other health problems & the steroids he was on.

All this teaches you just never to take for granted each & every day I suppose.

As for Muamba they will have him heavily sedated & will be deliberately be enducing hypothermia to lesson risks of brain damage. I suppose the next day or so, they'll start bringing him round to see how he responds.

I have to say Owen Coyle & the Bolton Chairman shown arriving in suits & ties at the hospital tonight looked a bit ominous.

Like they were going to switch life support machines off or something. The Bolton manager could hardly speak earlier.

So hope he pulls through - quite startling to see so many people just not knowing what to do but pray and many I guess wouldn't even give God a second thought normally.

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Remains in a critical condition tonight. So hoping he comes out of this.

Heart specialist on Sky saying he thinks Muamba may be suffering with hypertrophic cardio-myopathy - thickening of the heart muscle.

This reminds me of (and it seems to have been overlooked in place of Foé) Miklos Feher who played for Benfica about 8 years ago. Fairly sure his was the same thing but he didn't make it. There are videos on youtube that I wouldn't recommend watching.
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Very very sad story. Hope he pulls through!

Dont know much about health but similar to what happened to antonio puerta for sevilla right?

Except he got up and walked off the pitch and sadly later died which was kind of strange. I agree the postponement was the right thing to do. Surely the bolton players would not have the right mindset for a game so soon.

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This reminds me of (and it seems to have been overlooked in place of Foé) Miklos Feher who played for Benfica about 8 years ago. Fairly sure his was the same thing but he didn't make it. There are videos on youtube that I wouldn't recommend watching.

They interviewed the UEFA coach who was a Brummie with Benfica- when it happened in 2004- on one of the news channels yesterday. He said Feher who was Hungarian, was the fittest player at the club at the time. However he had congenital heart disease, which no amount of testing would have ever detected until the autopsy. Massive heart attack on the pitch & was dead before he hit the ground. Dreadful.

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So hope he pulls through - quite startling to see so many people just not knowing what to do but pray and many I guess wouldn't even give God a second thought normally.

If Muamba makes it then it will be because of science not voodoo.

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