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Strenuous physical activity like marathon race put a lot of strain on the heart with its attendant physical and psychological view point. This individual often dies suddenly as most of them are with sub-clinical to over heart diseases and; at times with brain lesion like ruptured aneurysm. 1 Ruptured aneurysm is the most frequent extracardiac cause for sudden death arising in the cardiovascular system. These always arises on the cerebral vessels as a result of artheroma formation on the vessels which obstructs free flow of the blood with its extensive narrowing of the blood vessels plus attributed to consequences. This type of aneurysm often resides at the circles of willis at the bifurcation and links together. 2 Most are giant type and are in form of fusiform/dissection type occurs in traumatic dissection or congenital ateriopathy and arteriosclerosis. 3-6 However, organic diseases like hypertension and few other conditions like smoking, gender males at younger to middle aged adults are more prone to aneurismal deaths. 7,8 The case is a young man of 32 years who is on 32km marathon race as part of fitness criteria for promotion who suddenly slumped and was brought in the hospital; though certified dead already (brought in dead). Keyword: Race, Male, Hypertension, Death. There is no conflict of interest among the authors.

Death from Marathon Race Following Acute Myocardiac Infarction with Ruptured Berry Aneurysm