About the author:

Howard J. Luks, MD

Howard J. Luks, MD

A Board Certified Orthopedic Surgeon in Hawthorne, NY. Dr. Howard Luks specializes in the treatment of the shoulder, knee, elbow, and ankle. He has a very "social" patient centric approach and believes that the more you understand about your issue, the more informed your decisions will be. Ultimately your treatments and his recommendations will be based on proper communications, proper understanding, and shared decision-making principles – all geared to improve your quality of life.

4 comments on “Sudden Cardiac Death in Runners

  • Howard, I think that CAC scan is a good idea. It certainly gives a degree of risk stratification that nothing else does. It picks up people who appear to have no particular risk. What one does with them then should be, in most LCHF diet etc. Most of them will be hyperinsulinaemic and pre-diabetic and if not, will show abnormal Kraft GTT with insulin assay. If you don’t know about that look it up. It will amaze you.
    I’m a retired histopathologist and the statistic is that overall, being fit etc reduces your risk of sudden death by half. There’s no guarantee with anything of course.

    • Thanks Garry …
      I do believe in risk stratification and tools to improve our knowledge about ourselves. Hopefully one of my cardiology colleagues can speak to the standard and advanced means of doing so.

  • Howard- poignant post. I will say as a Board Certified Nuclear Cardiologist that 70% of MI’s occur in lesions of roughly 50% obstruction, yet imaging stress tests generally do not pick up these lesions. Aggressive prevention and proactive care is the answer which is why I have dedicated my career to changing the current outmoded thinking and workup of cardiovascular disease. Traditional risk factors only explain about 22%-50% of all events. The job is not being done properly.

    • Thanks Lee .. I agree with you. I think far more can be done on the preventative side.
      Thanks and I hope all is well !
      Howard

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