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Autopsy reveals Foe died of heart problem

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  • Autopsy reveals Foe died of heart problem

    http://sportsillustrated.cnn.com/soc...7/foe_autopsy/

    'Natural causes'
    Autopsy reveals Foe died of heart problem
    Posted: Monday July 07, 2003 12:38 PM
    Updated: Monday July 07, 2003 12:56 PM

    LYON, France (Reuters) -- Cameroon midfielder Marc-Vivien Foe died of a heart problem when he collapsed during a Confederations Cup semi-final last month and no stimulants were found in his body, an autopsy showed Monday.

    The prosecutor in Lyon, the southern French city where 28-year-old Foe was carried off the pitch during Cameroon's 1-0 victory against Colombia on June 26, ruled out drugs or foul play and said he had found nothing abnormal.

    "The death is from natural causes. No stimulant substances were found. The death was of cardiac origin," public prosecutor Xavier Richaud said, announcing the autopsy result.

    "It is hypertrophic cardio myopathy. It is the hyper development of the left ventricle, which was noticed during the first autopsy.

    "I do not know that doctors knew he had heart problems," he added.

    An initial autopsy had failed to determine the exact cause of Foe's death. Toxicology tests carried out as part of the autopsy had been handed to an expert in Geneva for analysis before a definitive conclusion was reached.

    "As far as blood and urine are concerned, the negative toxicology shows that he did not taking any stimulants... in the 72 hours before his death. An analysis of his hair shows that he did not take stimulants before (that time) or regularly," Richaud said.

    Foe is due to be buried with full official honors Monday, following a mass at Cameroon capital Yaounde's cathedral. The burial will take place at the player's home.

    Unsung hero

    Cameroon was plunged into grief by the sudden death of the midfielder, an unsung hero of the country's dominant position in African football over the last decade.

    On Saturday, thousands of mournful fans lined the streets of Yaounde, waving palm fronds and branches as his body was brought home for burial.

    Foe, who had 65 caps, featured at two World Cups, 1994 and 2002, and twice won the African Nations Cup, in 2000 and 2002.

    He had played for French first division clubs RC Lens and Olympique Lyon, as well as West Ham United and Manchester City in England.

    "He was a sportsman full of talent, generosity and humanity. We all miss him very dearly," said Kalkaba Malboum, head of the Cameroon's national Olympic committee and the African Athletics Federation.

    Separately, FIFA said Monday that all 64 dope tests conducted during last month's Confederations Cup had yielded negative results.
    Thanks, Tim
    Forum Administrator

  • #2
    Re: Autopsy reveals Foe died of heart problem

    To add what I think may be relevant point vis-a-vis Foe's death, HCM and sudden cardiac death in general:

    I read a story in which Foe's wife was interviewed. To paraphrase the story, she indicated that that Foe had been experiencing 'gastric discomfort' prior to the game and she felt that he might have been suffering from dysentery. If Foe was suffering from diarrhea (and if it was dysentery, it could have been severe diarrhea), he would have been dehydrated.

    I know that some researchers (B. Maron perhaps) have looked at dehydration as a critical component of sudden death in HCMers.

    As a researcher myself (though a lowly social scientist ), I'll be interested to follow the research to find if we can tease apart the roles of dehydration and adrenaline in the risk of sudden death among HCMers.

    Comment


    • #3
      Re: Autopsy reveals Foe died of heart problem

      Good point!
      I do think there is a connection...and maybe it is easier to track then we think?!?

      I will be talking to some people and seeing if we can get them interested in looking into this more!

      KEEP THINKING!

      Lisa
      Knowledge is power ... Stay informed!
      YOU can make a difference - all you have to do is try!

      Dx age 12 current age 46 and counting!
      lost: 5 family members to HCM (SCD, Stroke, CHF)
      Others diagnosed living with HCM (or gene +) include - daughter, niece, nephew, cousin, sister and many many friends!
      Therapy - ICD (implanted 97, 01, 04 and 11, medication
      Currently not obstructed
      Complications - unnecessary pacemaker and stroke (unrelated to each other)

      Comment


      • #4
        Re: Autopsy reveals Foe died of heart problem

        for what it is worth

        I just did a pub med search on HCM and sudden death

        cross referencing for "fluid" and "dehydration" and or "hydration" did not yield any hits.

        Maybe I am doing the search in an unwise fashion, or maybe this is an important new insight.

        Lee Tilson
        [email protected]

        Detroit, Michigan
        Proud father of Andy, Meaghan, and Sean

        medical research:
        http://www.ncbi.nlm.nih.gov/PubMed

        www.vivisimo.com

        Laugh:
        http://www.cbs.com/latenight/lateshow/top_ten/

        Comment


        • #5
          Re: Autopsy reveals Foe died of heart problem

          Maybe this is something we can do to help out the specialist. I know the stats would not be completly reliable because people have said that many times only those of us who have problems are on the message board ( the others are living their lives) I'm not sure on that but anyhow.

          I know over the past year we have raised some intresting questions to each other on things that have happened to us and many concurred with the problems too. Ex. hypoglycemia, effects of dehydration, thyroid problems, anxiety etc. If we did a sort of poll and we were getting some very high hits maybe Lisa could show those statistics to the docs and it might give them a hit on something they have not put into perspective yet. It is worth a try.

          Mary S.

          Comment


          • #6
            Re: Autopsy reveals Foe died of heart problem

            I was under the impression, that once you dehydrate your blood thickens, therefore becoming more difficult for the heart to pump. I think there's a lot to be said for that, and may account for a lot of the deaths that are related to physical exertion.

            The NFL has finally started to take this seriously, and the NCAA has just past new regulations on the amount of practices football programs can have during pre-season. I'm sure a lot of this will spill into other sports as well, but from what I understand football and basketball are the biggest culprits.

            The other thing that I wish the specialists could look into are the type of beverages that some athletes like to injest before practice and competition. I'm almost convinced that drinks like "Red Bull" and "Venom", and even certain sodas like "Jolt" and Mountain Dew, which are filled with caffeine have more of a role than we think. Some hearts might be fine with the extra boost while others may not. I remember in my previous life as a soccer player, what a good cup of "espresso" coffee used to do for me during games. I couldn't play without it, and believe me for a lot of us that was only a "primer".

            I think there's more of a connection here than we think, and we haven't even talked about the over the counter drugs such as ephedrine, that athletes young and old have access to. I'm not suggesting here that everyone who has unfortunately died during or after physical exertion had been using performance enhancement substances, but again I think that there's more of a connection than we think.

            I personally wish that there was more research done in this area in general. Unfortunately in many instances it has serious legal implications, especially when dealing with professional athletes. Don't mean to open another can of worms, but do the names Gather and Lewis ring a bell.

            Just a thought...

            Bert

            Comment


            • #7
              Re: Autopsy reveals Foe died of heart problem

              Bert, you've raised a lot of good questions. I hadn't thought about those drinks. I know you're supposed to stay away from caffeine because it's dehydrating and also can make your heart race, but I'd never thought about Red Bull, etc. Hmmm, more to think about.....

              Reenie
              Reenie

              ****************
              Husband has HCM.
              3 kids - ages 23, 21, & 19. All presently clear of HCM.

              Comment


              • #8
                Re: Autopsy reveals Foe died of heart problem

                here are some links to info re HCM and sudden death:

                http://circ.ahajournals.org/cgi/reprint/102/8/858.pdf


                or go to this website:

                http://www.ncbi.nlm.nih.gov/PubMed



                and enter these identifiers for HCM and Sudden Death articles:

                12793636 11273061 10952953 10423663 9935031 9691102 9662112 9276168 7540289 8012885 8213552


                if you highlight and paste all of the numbers into the search, you will get all eleven articles.

                You may also click on "related articles" on the right side of the page to see more.

                Good luck.
                [email protected]

                Detroit, Michigan
                Proud father of Andy, Meaghan, and Sean

                medical research:
                http://www.ncbi.nlm.nih.gov/PubMed

                www.vivisimo.com

                Laugh:
                http://www.cbs.com/latenight/lateshow/top_ten/

                Comment


                • #9
                  Re: Autopsy reveals Foe died of heart problem

                  Bert and the rest!
                  You will be happy to know that there is great deal of research going on on the matters you discussed! It is not something you see on the news every night but it is happening!

                  There is more happening "behind the scenes" then you think. Mary - Your note about me talking to the docs...it happens nearly every day and I can say that over the past 7 years many articles have been published and many papers presented that cover issues that the HCMA addressed to the medical field. Such issues include - preg. and HCM, Risk stats for SD the use of EP testing in HCM and many other issues!!


                  Finding the cause of these tragic events is tricky at best and nearly impossible at worse. I am thinking and I will be discussing this with many friends in the field. Interestingly, these ideas and thought we are having are not new ones - - I have met with many members of the "HCM world" ...our support of our medical professionals is very important!! It is WITH us working as a TEAM that we all win!

                  Lisa
                  Knowledge is power ... Stay informed!
                  YOU can make a difference - all you have to do is try!

                  Dx age 12 current age 46 and counting!
                  lost: 5 family members to HCM (SCD, Stroke, CHF)
                  Others diagnosed living with HCM (or gene +) include - daughter, niece, nephew, cousin, sister and many many friends!
                  Therapy - ICD (implanted 97, 01, 04 and 11, medication
                  Currently not obstructed
                  Complications - unnecessary pacemaker and stroke (unrelated to each other)

                  Comment


                  • #10
                    Re: Autopsy reveals Foe died of heart problem

                    Lee,

                    Thanks for posting these articles. I'm embarrassed that I'm not more up to date on the literature on HCM but I have a hard enough time keeping up with the scholarly literature in my own research.

                    This first article by Maron et al (2000) in Circulation is fascinating. It's amazing how different the aggregate results are when you remove the selection bias of tertiary centers! This article makes me feel more comfortable about the attention that my doc is paying to SD. Here I was thinking that he was being a bit dramatic with the risk of SD since I'm not actively competing in "intense competitive sports" any more. My bad!

                    However, the article's discussion of stroke also gives me some sense of victory. Because stroke is the modal form of death of men in my family, I've always been more worried about stroke than my docs. Who cares if stroke arrives relatively late (60s-70s and I'm 32 y.o.), I want to make sure that I'm on the right treatment now to reduce my risk now and later.

                    As Lisa's signature says, knowledge is power. I feel a little more empowered thanks to this article. Thanks again for posting it.

                    David

                    http://circ.ahajournals.org/cgi/reprint/102/8/858.pdf

                    Comment


                    • #11
                      Re: Autopsy reveals Foe died of heart problem

                      The problem with a lot of these studies and articles is that they derive solely from "Evidence-based medicine" (EBM), and to paraphrase MR Tonelli from the University of Washington School of Medicine:

                      "EBM has already had a profound effect on both medical education and clinical practice. Not clearly acknowledged, however, are the limits of EBM and an intrinsic gap exists between clinical research and clinical practice. Failure to recognize and account for this gap may lead to unintended and untoward consequences. Under the current understanding of EBM, the individuality of patients tends to be devalued, the focus of clinical practice is subtly shifted away from care of individuals toward care of populations, and the complex nature of sound clinical judgement is not fully appreciated. Despite its promise, EBM currently fails to provide an adequate account of optimal medical practice. A broader understanding of medical knowledge and reasoning is necessary".

                      His mention of "the focus of clinical practice shifted away from care of individuals toward care of populations" explains the lack of compassion and interest displayed by the physicians that we experienced at a large university center in Boston. At that center, the term risk in an individual patient is taken rom the property of a group-for example, the percentage of patients that dies- and call that the patients risk. But, when you transfer a number from a group to an individual patient, it's meaning can qualitatively change.

                      Just a thought to keep in mind when we read a lot of published studies from the "experts". Knowledge is definitely power.

                      Bert

                      Comment


                      • #12
                        Re: Autopsy reveals Foe died of heart problem

                        When you happen to be that "one individual person"..............
                        Linda

                        Comment

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