What happened to Fabrice Muamba?
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What happened to Fabrice Muamba?
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On Saturday night, Tottenham were playing Bolton in the FA Cup. In the 41st minute, their 23-year old midfielder Fabrice Muamba collapsed and was given CPR on the pitch. The match was abandoned. It ha
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Forums » Open clinical » Cardiology » What happened to Fabrice Muamba?
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What happened to Fabrice Muamba?
posted at 19/3/2012 10:46 AM GMT
on bmj.com
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*Moderator*
Posts: 1497
First: 7/4/2011 Last: 19/6/2013 |
On Saturday night, Tottenham were playing Bolton in the FA Cup. In the 41st minute, their 23-year old midfielder Fabrice Muamba collapsed and was given CPR on the pitch. The match was abandoned. It has been reported that his heart stopped for 2 hours. What's your diagnosis? Did he have a heart attack? What was it caused by? I've heard various causes - hocum, arrhythmia, or an electrolyte abnormality in muscle cells. I'm not a cardiologist but does anyone have any insight on the matter? http://www.bbc.co.uk/sport/0/football/17419654 |
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Re: What happened to Fabrice Muamba?
posted at 19/3/2012 11:33 AM GMT
on bmj.com
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Posts: 1216
First: 19/4/2010 Last: 19/6/2013 |
It's a mystery from this distance. Mrs DundeeChest and I spoke about this on Sunday - why is that footballers seem to suffer sudden cardiac death on the football pitch. She wondered if there's something about footballers which predisposes them to SCD. I suspect it's no more common in footballers thatn in any other young people, or sportspeople, it's just that there are a huge number of footballers out there. If it's true that he was in cardiac arrest for 2 hours, his outcome is somewhat guarded, I fear. It is my understanding that professional footballers have echos as part of their medicals, so it would seem very unlikely that he had HOCM. He's young, so ischaemic heart disease is unlikely - he essentially does an ETT every day in training, too. Arrythmia - higher up the list, but he would have had an ECG in his medical to rule out WPW, or other conduction problems. Part of the differential has to be drugs - sympathomimetics cause vasoconstriction, and tachyarrythmias; steroids can cause a dilated cardiomyopathy. It's not beyond the realms of possibility that premiership footballers might use recreational drugs, or performance enhancing drugs. I'm not saying he did - everyone in the press speaks very highly of him, I don't know him, and I've not involved in his care - but it has to be part of the differential. I hope he survives, in meaningful state. |
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Re: What happened to Fabrice Muamba?
posted at 19/3/2012 1:00 PM GMT
on bmj.com
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Posts: 897
First: 17/6/2011 Last: 17/6/2013 |
I'm not sure exactly what happened to him but I have 2 comments |
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Re: What happened to Fabrice Muamba?
posted at 19/3/2012 1:01 PM GMT
on bmj.com
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Posts: 2139
First: 12/3/2010 Last: 19/6/2013 |
Long-QT Syndrome? There is no racial difference in incidence, but a lot have been found in South Africa, in all races, and the gene traced back to a single Dutch farmer (!) This study http://www.ncbi.nlm.nih.gov/pubmed/18207629 found full recovery in four of ten Polish teenage survivors of arrythmic cardiac arrest, but gave no details of the resuscitation. So hope, maybe. John |
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Re: What happened to Fabrice Muamba?
posted at 20/3/2012 3:12 AM GMT
on bmj.com
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Posts: 1604
First: 24/12/2008 Last: 20/6/2013 |
I was actually following the match. It first went into 'interrupted' which I thought there might have been some emotions in the field. Then it wrote 'abandoned'. I quickly went to watch but to my biggest surprise, I found TV host and Football pandits in dismay. I could not believe it. Our thoughts with Fabrice and let's hope he will recover well. I thought he may have underlying condition to predispose into this state (precipitated while playing). It is hard to guess especially when he along with all other players must have undergone all those tests DundeeChest mentioned. |
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Re: What happened to Fabrice Muamba?
posted at 20/3/2012 5:15 PM GMT
on bmj.com
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Posts: 92
First: 20/3/2012 Last: 25/10/2012 |
In Response to Re: What happened to Fabrice Muamba?: It's a mystery from this distance. Mrs DundeeChest and I spoke about this on Sunday - why is that footballers seem to suffer sudden cardiac death on the football pitch. She wondered if there's something about footballers which predisposes them to SCD. I suspect it's no more common in footballers thatn in any other young people, or sportspeople, it's just that there are a huge number of footballers out there. Hi DundeeChest. In response to your question, I suspect that footballers suffer from lower rates of sudden cardiac death than the general population due to their fitness but, due to, in part, the fact they are majorly fitter than the general population, makes it that much more of a surprise and more likely to make headlines. And the football pitch aspect I'm sure is just purely down to the physical strenuousness of the matches, particularly higher level football matches. While during a match the players' heart rates are unlikely to drop to a resting level, they will experience a lot of bursts where the heart rate suddenly spikes due to a quick sprint and then slowing down again before the next sprint. It would be more pronounced in players such as Fabrice as he is very much a box-to-box player and so will cover a lot of ground during the match (frequently over 10KM over the 90 minutes). My final point in response to this would be simple. Which are you more likely to hear about?: Fabrice Muamba, 23, collapsing on a Premier League pitch on television in front of 40,000 live fans and hundreds of millions around the globe; or Joe Bloggs, 42, collapsing on a building site in Essex in front of 10 other workmen. If we were informed as well about the Joe's as the Fabrice's, then we could be asking "Why do so many workmen collapse on building sites?" |
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Re: What happened to Fabrice Muamba?
posted at 20/3/2012 6:23 PM GMT
on bmj.com
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Posts: 8
First: 3/8/2010 Last: 20/3/2012 |
In Response to Re: What happened to Fabrice Muamba?: Is it not likely that, in the event it was discovered that Fabrice Muamba has a cardiac abnormality in which there is a risk of SCD, that he may have decided to continue his career anyway? I'm assuming that he will have undergone the rigorous medical testing only when he reached a certain level of performance in his career, before which he may have played hundreds of football matches without any problems. Perhaps the possibility of HCM may have been flagged, but on balance he may have considered his chances of SCD so small as to carry on with a career that I imagine he was/is passionate about anyway? I don't mean to sound like a cynic or disrepute doctors that work for football teams but, if his doctor did find an abnormality but Muamba weighed up the risk and decided he wanted to continue playing, would the club turn that down, considering how much he may have cost them in transfer fees/training? |
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Re: What happened to Fabrice Muamba?
posted at 20/3/2012 7:03 PM GMT
on bmj.com
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Posts: 2139
First: 12/3/2010 Last: 19/6/2013 |
Continue his career? Even if he wanted, and no doubt he would, who would employ him? Would you pay another team a million pounds for a footballer who could die on the pitch any time? No, he could never find a club to take him, even on a free transfer, the publicity is so bad. Bolton are considering if they will play at all, until the prognosis is known for Muamba. That will cost them in fines from the FA for not turning out, whihc they may feel is worth it to demonstrate their concern, andother commercial decison, not merely a gut reaction. John |
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Re: What happened to Fabrice Muamba?
posted at 20/3/2012 7:37 PM GMT
on bmj.com
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Posts: 1216
First: 19/4/2010 Last: 19/6/2013 |
In Response to Re: What happened to Fabrice Muamba?: In Response to Re: What happened to Fabrice Muamba? : Hi DundeeChest. In response to your question, I suspect that footballers suffer from lower rates of sudden cardiac death than the general population due to their fitness but, due to, in part, the fact they are majorly fitter than the general population, makes it that much more of a surprise and more likely to make headlines. And the football pitch aspect I'm sure is just purely down to the physical strenuousness of the matches, particularly higher level football matches. While during a match the players' heart rates are unlikely to drop to a resting level, they will experience a lot of bursts where the heart rate suddenly spikes due to a quick sprint and then slowing down again before the next sprint. It would be more pronounced in players such as Fabrice as he is very much a box-to-box player and so will cover a lot of ground during the match (frequently over 10KM over the 90 minutes). My final point in response to this would be simple. Which are you more likely to hear about?: Fabrice Muamba, 23, collapsing on a Premier League pitch on television in front of 40,000 live fans and hundreds of millions around the globe; or Joe Bloggs, 42, collapsing on a building site in Essex in front of 10 other workmen. If we were informed as well about the Joe's as the Fabrice's, then we could be asking "Why do so many workmen collapse on building sites?" Posted by Nursemorph Indeed!
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Re: What happened to Fabrice Muamba?
posted at 21/3/2012 2:58 AM GMT
on bmj.com
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Posts: 20
First: 17/10/2009 Last: 29/5/2013 |
Has anybody thought about Tako-Tsubo cardiomyopathy---" Broken Heart Syndrome"--wherein--young healthy lads & gals can have clean coronaries but lousy ejection fractions especially under stressful situation..echo would be the key to the diagnosis if you suspect, however, its too late for the football star..Love to hear from the experts.... |
Forums » Open clinical » Cardiology » What happened to Fabrice Muamba?
