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Causes of sudden cardiac death in competitive athletes by age group. There is evidence for structural heart disease in nearly all athletes who die suddenly of cardiac causes. In athletes younger than 35 years, hypertrophic cardiomyopathy is more prevalent, whereas in those older than 35 years, coronary heart disease is the most frequent cause. CM, cardiomyopathy; HD, heart disease; LVH, left ventricular hypertrophy; MVP, mitral valve prolapse. Reproduced with permission from Maron BJ, Epstein SE, Roberts WC. Causes of sudden death in competitive athletes. J Am Coll Cardiol. 1986;7:204214. Source: Chapter 49. Sudden Cardiac Death, Hurst's The Heart, 13e Citation: Fuster V, Walsh RA, Harrington RA. Hurst's The Heart, 13e; 2011 Available at: http://mhmedical.com/ Accessed: May 12, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved