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His autopsy came back “normal,” and the medical examiner’s “working diagnosis” was that a sudden electrolyte shift caused an abnormal heartbeat, which might have been aggravated by a small, unseen area of heart muscle inflammation, said Lipton’s father, Dr. Jordan D. Lipton, an emergency medicine physician.
“We miss and love him terribly and are devastated that he will never be able to continue the work he loved and the good things he was doing for everyone, while we watched with pride and admiration,” Dr. Lipton told the Globe. “We miss his future, and of course, the lack of a definitive explanation makes it even more devastating.”
Deaths and cardiac arrests involving young athletes are shocking, and often receive media attention. In May, a 27-year-old man from Brooklyn died after running a half marathon in Providence. In July, Bronny James, the 18-year-old son of NBA star LeBron James, was hospitalized and survived after going into cardiac arrest during basketball practice.
But deaths among young athletes are rare, and the benefits of exercise outweigh the risks, said Dr. Paul D. Thompson, chief of cardiology emeritus at Hartford Hospital, and past president of the American College of Sports Medicine.
When he was on the Brown University faculty, Thompson and others wrote a 1982 Journal of the American Medical Association article reporting that just 12 men died while jogging during a six-year period in Rhode Island. They concluded the state had seen only one death per year for every 7,620 joggers.
In 2007, Thompson and others wrote a New England Journal of Medicine article, assessing cardiac arrests in US marathons and half-marathons from 2000 to 2010. They found that of 10.9 million runners, 59 had cardiac arrests, an incidence rate of 0.54 per 100,000. Cardiovascular disease accounted for the majority.
“I don’t want people to get freaked out about the danger of exercise,” he told the Globe.
Thompson — who qualified for the 1972 US Olympic Marathon Trials as a third-year medical student, and finished 16th in the 1976 Boston Marathon — said most people who die while exercising are older men with blocked arteries.
Deaths among young athletes can involve hypertrophic cardiomyopathy (thickening of the heart muscle), abnormalities in coronary arteries, arrhythmogenic right ventricular dysplasia (a rare familial disorder), and inflammation of the heart caused by viral infections, including the coronavirus, cardiologists said.
But Lipton said an examination of his son found no vascular disease, genetic cardiac testing was normal, and he had good cholesterol levels. He said his son had been vaccinated and had COVID-19 a year earlier, but the exam showed no heart inflammation.
Thompson said that when people die of cardiac arrest for unclear reasons, those cases are categorized as Sudden Arrhythmic Death Syndrome, or SADS. “When there is no explanation, we put those together as SADS, and boy, I tell you, it is sad,” he said. “These are usually young people.”
In those cases, the heart goes into ventricular fibrillation, twitching and failing to move blood, he explained. Underlying causes include Long QT syndrome — a heart signaling disorder that can cause fast, chaotic heartbeats — or Brugada syndrome, a rare but potentially life-threatening heart rhythm condition, he said.
“As time goes on, we find more and more deaths during exercise are related to SADS,” Thompson said.
The coronavirus and COVID-19 vaccines can cause heart inflammation in rare cases, Thompson said. “But I am not an anti-vaxxer. The benefits outweigh the risks. I have had four shots.”
Thompson noted some advocates want to screen young athletes for conditions that might cause cardiac arrest. But he said those programs aren’t worth the effort because the problems are so rare. He said that effort would be better spent teaching CPR and making defibrillators available.
Lipton said paramedics used a defibrillator on his son “relatively quickly” after he lost a pulse. Also, two doctors were at a medical tent and helped load his son into the ambulance, he said. One doctor was preparing to intubate him, he said, “but they were reportedly kicked off the ambulance by the medics due to being ‘against their protocol.’ “
While Lipton’s working diagnosis is a “sudden electrolyte shift,” Thompson said, “I wouldn’t blame it on electrolyte abnormality. That sounds like something pushed by sports drinks people.”
Dr. Steven Lome, a cardiologist in Monterey, Calif., said the most common cause of death during marathons among women with structurally normal hearts is hyponatremia, when sodium levels in blood become abnormally low. “If you overconsume water, it dilutes the blood,” he said. “That can induce an arrhythmic ventricular fibrillation.”
Runners can also die from hyperthermia when body temperatures become abnormally high, Lome said. But when Lipton ran the Mesa (Arizona) Marathon, temperatures ranged between 46 and 69 degrees, and a finish line photo shows him looking relaxed, gliding with both feet off the ground.
Lome made national news in 2022 when he performed CPR on two runners during one half marathon in California, helping to save their lives. But he said both runners were much older than Lipton — men in their 50s and 60s, with family histories of heart disease.
Lome said at least 80 percent of heart disease is preventable. As the founder of the Plant Based Nutrition Movement, he encourages plant-based or Mediterranean-style diets, and he emphasized the importance of not smoking, checking your cholesterol, and paying attention to risk factors like a family history of heart problems.
Lipton said there is a family history of high cholesterol, but his son’s exam “was completely normal and his previous lipids were fantastic due to his healthy lifestyle.” He said his son adhered to a “mostly vegan” diet, and was “the healthiest person in our entire extended family.”
Pierre Lipton’s girlfriend, Eleanor Pereboom, said, “I know that Pierre was running fully within his capabilities, and I don’t know anyone who treated their body with more respect than he did.”
Dr. Brian G. Abbott, of Lifespan’s Cardiovascular Institute and Brown University’s Warren Alpert Medical School, said the most common reason for sudden death in young athletes is thickening of the heart muscle leading to arrhythmia. If a person’s heart is structurally normal, other possibilities include the Long QT syndrome that can lead to irregular heartbeats, but most 26-year-olds don’t take tests to screen for such conditions, he said.
“The benefits of running and exercise far outweigh the potential risks,” Abbott said. “Whatever he had was something not clinically apparent. Obviously, he was running fine, he said. “In a way, it’s like getting hit by lightning.”
Lipton said he certainly hopes that whatever happened to his son is extremely rare. “But when it happens to a person like our son, it doesn’t matter,” he said.
Edward Fitzpatrick can be reached at edward.fitzpatrick@globe.com. Follow him @FitzProv.
CRANSTON, R.I. (WJAR) — Women’s Fund of Rhode Island and U.S. Sen. Jack Reed celebrated Women’s History Month in Cranston with a panel discussion on Monday.
The event was held at the Cranston Public Library at 9 a.m.
Reed and other leaders of WFRI hosted a panel discussion with women leaders in environmental and agricultural advocacy, education, community resilience, housing, finance, workforce development, and more, officials said.
Women’s Fund of Rhode Island and U.S. Sen. Jack Reed celebrated Women’s History Month in Cranston with a panel discussion on Monday. (WJAR)
“Women have played a critical role in this process, most often without any recognition,” Reed said. “Today’s panel brings together an extraordinary group of women who are addressing the challenged of sustainability from various angles and I want to thank you all for your great efforts.”
The panelists highlighted their experiences, shared insights and tips on lifting up women’s voices, provided strategies for sparking change and more.
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According to officials, some of the panelists included Executive Director of the Rhode Island Food Policy Council Nessa Richman, Executive Director of Strategic Initiatives at Rhode Island College Kim Bright, Newport Housing Authority Executive Director Rhonda Mitchell and more.
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A Seekonk man is accused of murder after he allegedly shot and killed a man in Rhode Island before causing a car crash in Swansea that killed two people last week, police said.
Demitri Sousa, 28, is charged with murder, using a firearm while committing a crime of violence, and carrying a pistol without a license, the Cranston Police Department said.
The shooting occurred Thursday night in Cranston, police said in a press release.
That night, Sousa allegedly arrived at the Cranston home of Javon Lawson, 35. Sousa began banging on the side door of the home, police said.
When Lawson approached the door, he was hit by gunfire from outside, police said.
First responders transported Lawson to the Rhode Island Hospital, where he was pronounced dead, Cranston police said.
“Based on the preliminary investigation, the motive is believed to be a dispute between the suspect and the victim over a mutual female acquaintance. Detectives are continuing this investigation to gain more insight, as well as to collect and analyze evidence,” Colonel Michael Winquist, Chief of Cranston police, said in an emailed statement to Boston.com.
Neighbors gave police video footage that “showed a male subject wearing dark clothing and a mask walking toward the residence moments before the shooting and fleeing immediately afterward,” Winquist said.
The suspect was also seen running to a white Infiniti sedan which then drove off, the Cranston police chief said.
Shortly after the shooting, a license plate reader captured the vehicle driving southbound on Route 10, and then later in Fall River and Westport, Massachusetts. The sedan’s license plate was registered in Sousa’s name, Winquist said.
At around 12:18 a.m. Friday, Swansea police spotted Sousa’s Infiniti barreling down Route 6, Swansea officials said.
Just moments later, Sousa allegedly “crashed into the side of another vehicle, a blue 2022 Subaru Ascent that had been traveling southbound on Route 136,” Swansea Police Chief Mark Foley and Fire Chief Eric Hajder said in a joint press release.
Both vehicles had “catastrophic damage,” and the struck car was engulfed in flames, the Swansea officials said.
The driver and passenger of the hit car — a man and a woman — were declared dead at the scene, they said.
“Swansea Police had been alerted to be on the lookout for the suspect vehicle. However, Swansea Police were not involved in the pursuit and were not pursuing the vehicle at the time of the crash,” the Swansea chiefs wrote. Swansea official have not announced charges related to the fatal crash.
Sousa had been driving the Infiniti and appeared to be suffering from serious injuries, Winquist said. Inside the car, police found a pistol and “additional .22 caliber ammunition was recovered” from Sousa at Rhode Island Hospital, Winquist said.
Police arrested Sousa and transported him to Rhode Island Hospital. Sousa is expected to survive, Winquist said. Sousa will be held in Cranston police custody until he is conscious and medically cleared, Winquist said.
“On behalf of the Cranston Police Department, I want to extend my deepest condolences to the family and loved ones of Javon Lawson and the two individuals who were killed in the crash in Swansea,” Winquist said.
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Video of coach Archie Miller speaking after URI falls to St. Joseph’s
The Rams lose to St. Joseph’s 61-55 on Saturday, Feb. 28 at the Ryan Center.
SOUTH KINGSTOWN – Whatever hopes the University of Rhode Island harbored for a men’s basketball Senior Day upset of Saint Joseph’s disappeared on a rare made 3-pointer.
Jaiden Glover-Toscano connected on just one of his eight attempts from deep, and it turned out to be a backbreaker. The Hawks mustered just enough offense to hold off the Rams at the Ryan Center in an Atlantic 10 rock fight that went to the visitors.
Glover-Toscano hit from the left wing with 3:37 left, restoring a two-possession lead. Saint Joseph’s did just enough from there to finish a 61-55 victory on Feb. 28 and extend URI’s late-season slide.
“We needed to get that stop,” URI coach Archie Miller said. “It was in the balance. Those last three minutes, whoever was going to make the play or get the stop was going to win.
“They made a big shot right there.”
The Rams cut a 13-point deficit all the way to 56-55 when Tyler Cochran knocked down both ends of a 1-and-1 at the line with 3:54 left. The Hawks overloaded the right side on the ensuing possession, and Derek Simpson got a step on his man toward the paint. He fired a crosscourt pass to Glover-Toscano that caught URI’s defense rotating, and the air came out of the announced 6,391 fans in the building when the net rippled in front of the visiting bench.
“We weren’t able to convert,” Miller said. “That’s kind of the name of the game. You’ve got to have some plays go your way.”
Myles Corey missed a 3-pointer at the other end, and Simpson played facilitator again to give Saint Joseph’s more of a cushion. He found Justice Ajogbor rolling to the rim for a slam with 2:36 left and it was a six-point game. Neither team scored again on an afternoon where they both shot under 40% from the field and went a combined 10-for-61 from deep.
“The bottom line for our team today – and let’s just keep it simple – is we didn’t make a shot,” Miller said. “We really struggled to shoot the ball.”
The Hawks built their largest lead with 13:53 to play, thanks to what was a major sore spot on the afternoon for the Rams. URI couldn’t inbound the ball after an Ajogbor free throw, and Jonah Hinton was called for an offensive foul. Simpson drove for a two-hand slam on the ensuing possession, part of a 13-0 shutout for the visitors on points off turnovers.
“We have no room for error,” Miller said. “That plays a big role.”
The Rams (15-14, 6-10 Atlantic 10) enjoyed their best stretch of the day after falling into that 44-31 hole. Alex Crawford offered some life with a couple of 3-pointers, and Jahmere Tripp buried another from the left corner to make it a 54-51 game with 5:10 left. Crawford’s hard drive down the right kept it a three-point game, and Cochran’s successful trip to the line put URI in position to steal it late.
“I feel like we had open shots,” Crawford said. “We had a lot of good looks – shots we usually make.”
Saint Joseph’s (19-10, 11-5) won its fourth straight and continued an impressive rally from an 0-2 start in league play. The Hawks are on course for a double bye in the upcoming conference tournament, while the Rams look increasingly likely to play on the opening day in Pittsburgh. A home date with Duquesne and a road trip to Fordham wrap the regular season this week, and URI hopes guard RJ Johnson (concussion protocol) will be able to return at some point.
“It did hurt a little bit,” Crawford said. “You face adversity, you’ve got to find a way to make up for missed players.”
SAINT JOSEPH’S (61): Dasear Haskins 5-11 4-5 14, Justice Ajogbor 4-5 1-3 9, Derek Simpson 4-10 4-4 13, Jaiden Glover-Toscano 3-14 0-1 7, Austin Williford 2-9 0-0 5, Khaafiq Myers 4-7 0-0 9, Jaden Smith 1-2 1-3 3, Anthony Finkley 0-2 1-2 1. Totals 23-60 11-18 61.
RHODE ISLAND (55): Tyler Cochran 2-13 8-8 13, Keeyan Itejere 4-5 2-2 10, Jahmere Tripp 4-12 2-3 11, Jonah Hinton 2-11 0-0 5, Myles Corey 1-8 1-4 4, Alex Crawford 4-6 2-4 12, Jalen Harper 0-6 0-0 0, Drissa Traore 0-1 0-0 0. Totals 17-62 15-21 55.
Halftime – SJ, 30-27. 3-point FG – SJ 4-28 (Haskins 0-3, Simpson 1-5, Glover-Toscano 1-8, Williford 1-8, Myers 1-2, Finkley 0-2), RI 6-33 (Cochran 1-9, Tripp 1-4, Hinton 1-7, Corey 1-4, Crawford 2-3, Harper 0-5, Traore 0-1). Rebounds – SJ 45 (Myers 8), RI 46 (Cochran 15). Assists – SJ 14 (Simpson 5), RI 12 (Corey 4). Turnovers – SJ 13 (Simpson 3, Myers 3), RI 13 (Corey 5). Blocked shots – SJ 7 (Ajogbor 3), RI 4 (Itejere 2, Tripp 2). Steals – SJ 8 (Simpson 3), RI 4 (Tripp 2). Attendance – 6,391.
bkoch@providencejournal.com
On X: @BillKoch25
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