Beruflich Dokumente
Kultur Dokumente
A. ANDI KURNIAWAN, MD
Dr. Andi Kurniawan, Sp.KO
Spesialis Kedokteran Olahraga
IDI : Anggota
PDSKO : Anggota
PEROSI : Sekjen
SPORTS-RELATED
SUDDEN DEATHS Cardiac
Non
Cardiac Sports
Non
Endurance Endurance
Sports
Horrifying
ExtraOrdinary Tragic Incident Dramatic
Incident
EPIDEMIOLOGY
2.4
0
CARDIOVASCULAR
Corrado D, Basso C, et al. Does sports activity enhance the risk of sudden death
in adolescent and young adult? J Am Coll Cardiol 2003; 42:1959-63
EPIDEMIOLOGY
Maron BJ, Doerer JJ, et al. sudden death in young competitive athletes -
analysis of 1866 death in US, 1980 - 2006. Circulation 2009 : 1085-92
EPIDEMIOLOGY
Maron BJ, Doerer JJ, et al. sudden death in young competitive athletes -
analysis of 1866 death in US, 1980 - 2006. Circulation 2009 : 1085-92
Hypertrophic Arrhythmogenic RV
Cardiomyopathy Cardiomyophaty
negative positive
findings findings
Management According to
Established Protocols
Pre-Participation Cardiovascular
Screening Recommendation
SUDDEN DEATHS
IN MARATHON
ENDURANCE SPORTS
3 CASES IN 2018
SUDDEN DEATHS
State of the Sport - Part III: U.S. Race Trends. Running USA. July 9, 2014. Available at: http://www.runningusa.org/2014-state-of-the-sport-part-III-us-race-
trends. Accessed November 14, 2014.
Figure 2 : Increasing Numbers of U.S. Athletes Complete Running Races
State of the Sport - Part III: U.S. Race Trends. Running USA. July 9, 2014. Available at: http://www.runningusa.org/2014-state-of-the-sport-part-III-us-race-
trends. Accessed November 14, 2014.
FINISHING TIME
2:00:25 run at
Nike’s Breaking2 marathon
May 2017
HUMAN RUNNING MACHINE
CHASSIS& MUSCOLOSKELETAL&SYSTEM&(Muscle,&Bone,&Joint)&
FUEL&TANK& ENERGY&SYSTEM&(Carbohydrate,&&&Fat&Stores)&
ENGINE& CARDIOVASCULAR&SYSTEM&(Heart&&&Blood&Vessels)&
RADIATOR& COOLING&SYSTEM&(Skin&and&Lungs)&
SUDDEN DEATH IN MARATHON INCIDENCE
(1) Maron BJ, Poliac LC, Roberts WO. Risk for sudden cardiac death associated
with marathon running. J Am Coll Cardiol. 1996;28:428-431
(2) Tunstall Pedoe DS. Marathon cardiac deaths: the London experience. Sports
Med. 2007;37:448-450
(3) Redelmeier DA, Greenwald JA. Competing risks of mortality with marathons:
retrospective analysis. BMJ. 2007;335:1275-1277
(4) Jonathan H. Kim, M.D., Rajeev Malhotra, M.D., George Chiampas, D.O., et al. Cardiac Arrest during Long-Distance Running Races. New
England Journal of Medicine 366(2):130-40
@dokandi
KEMATIAN MENDADAK
DI MARATHON
Average age
th
26 Sudden death occurs mostly in
km 40-42 (42% of cases)
mile
New England Journal of Medicine 2012
A prospective and comprehensive national survey was
performed throughout France from 2005 to 2010,
involving subjects 10 to 75 years of age
Case detection for sports-related sudden death : 4.6
cases per million population per year
Circulation.
820 : sports-related sudden deaths
2011;124:672–681
DISTRIBUTION BY AGE
SPORTS-RELATED SUDDEN DEATHS (SDS)
Overall population
Competitive athletes
SUDDEN DEATH
IN MARATHON EVENT
RACE
MANAGEMENT
KOMUNITAS
PELARI
TEMPAT LAYANAN
MELIBATKAN
KESEHATAN
KERJASAMA
Rumah Sakit, Clinic, dll
KEPOLISIAN BANYAK
PIHAK
Mendorong Pemerintah
IKATAN DOKTER untuk membuat Regulasi
tentang Penyelenggaraan
INDONESIA RACE LARI yang sesuai
dengan standard
international
PERHIMPUNAN Memberikan Pelatihan dan
Edukasi kepada Pelari
DOKTER SPESIALIS tentang Risiko Kesehatan
KEDOKTERAN olahraga lari.
OLAHRAGA Memberikan Pelatihan dan
Edukasi tentang
penanganan
PERHIMPUNAN Kegawatdaruratan di Bidang
Olahraga
DOKTER SPESIALIS
ANESTESIOLOGI
DEFINISI PELARI KEREN :
TERHADAP DIRI SENDIRI
Mau dan Bisa mendengar keluhan tubuhnya
sendiri
Rasio Petugas
Medis & Pelari
sesuai standard
RACE
Memiliki Emergency
MANAGEMENT
Plan yang baik ORGANIZER Race Medical Director :
dokter spesialis yang
kompeten
Personel Medis
Memberikan
yang bertugas
Layanan Medis
mempunyai skill
Menyediakan Yang sesuai Dengan
dan keterampilan
Equipment Standard
di bidang
Medis Yang sesuai International
“emergency in
sports” Dengan Standard
International
FIFA MEDICAL BAG
Football Players
Collapses
Non-Contact
Contact Collapse
Collapse
Assume
Sudden Cardiac Team Physician or Delegated
Team Physician or Delegated
Official to Decide Further Official to Decide Further
Management Off The Field Unresponsive + Absent/abnormal breathing Management Off The Field
Ignore seizure-like movement
Ignore pulse check