Sudden death during sports practice, although the rates are not high, it has occurred in healthy athletes and even in high performance events. The main etiological characteristic is that it occurs due to cardiovascular diseases and due to congenital diseases. The main objective was to conduct a review of articles and trends in the management of patients with sudden death. For this, a specialized search was carried out in the PubMed, Science Direct, Scielo, Redalyc and La Referencia databases; This allowed to identify a total of 43608 articles of which 29 were selected, which met the criteria. It is identified that the main cause is congenital heart disease in young athletes and atherosclerotic disease in adult athletes. Preventing these event is difficult, it is necessary to strengthen skills and abilities in first responders, on cardiopulmonary resuscitation maneuvers and on the use of external autonomic defibrillators.