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Heart Conditions in Football: Risks, Prevention, and Awareness

When a young athlete collapses on the pitch, the football community asks why such tragedies occur. While this article does not offer medical expertise, it

By The Boot Room Editorial Team · Jul 17, 2026 · 3 min read
Heart conditions in football

When a young athlete collapses on the pitch, the football community asks why such tragedies occur. While this article does not offer medical expertise, it provides a personal perspective based on experience and highlights key information about cardiovascular risks in the sport.

The Reality of Sudden Death in Football

Nacho Barberà, a player for UD Alzira, died doing what he loved most – at the club where he had played since childhood. His case is one of many “sudden death” incidents in football over recent years. These events have prompted reflection across the sporting world, leading to a 2016 royal decree that set minimum safety and quality conditions for the use of automatic and semi-automatic external defibrillators outside hospital settings. Today, many teams with limited financial resources are investing in defibrillators, aware of their importance.

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The most famous sudden death cases in Spanish football include Antonio Puerta, while international football remembers Benfica’s Feher, Cameroon’s Foé, and most recently Davide Astore. These incidents occur in both professional and amateur football. In 98 per cent of cases, the cause is heart disease. Visible symptoms appear in a worrying 20 per cent of instances, while 80 per cent end in the worst possible way.

Symptoms and Causes to Watch For

  • Symptoms: Severe and constant palpitations, even loss of consciousness.
  • Causes: Excessive consumption of energy drinks combined with extremely demanding training or competition, plus genetic or congenital conditions.

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Importance of Regular Medical Check-Ups

The primary prevention method is a strict regime of annual medical check-ups. If any symptoms appear, the advice is to see a specialist as soon as possible and temporarily set aside any sport or competitive activity. Even without prior symptoms, a person can ask a doctor for tests such as a stress test and a 24-hour Holter monitor, which measures heart rate and rhythm over a full day. If something is detected, immediate family members should also be monitored, as these conditions are often linked to genetic factors.

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Lifestyle Prevention: Diet and Habits

Many footballers and amateurs are unaware of the significant risks involved in modern football. While certain risk factors like family history, gender, and age cannot be changed, maintaining healthy habits helps reduce heart disease risk. Key dietary steps include:

  • Control portion sizes
  • Eat more fruit and vegetables
  • Choose whole grains
  • Limit intake of saturated fats
  • Choose low-fat sources of protein
  • Reduce sodium in meals
  • Plan daily meal menus
  • Limit alcohol intake
  • Do not smoke

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Awareness and Responsibility

Awareness begins with taking responsibility for one’s health, which takes precedence over sport and passion. Regular check-ups, understanding symptoms, and adopting a healthy lifestyle are essential steps for every footballer and athlete.

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