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Heat stroke can lead to an indirect sports fatality because it often results from prolonged exposure to high temperatures and inadequate hydration during physical exertion. In athletes, especially during training or competition in hot weather, the body's ability to regulate temperature can be overwhelmed, leading to a dangerous rise in core temperature. If not recognized and treated promptly, heat stroke can cause organ failure and death, making it a significant risk factor in sports without a direct physical impact.

In contrast, the other options generally involve direct physical trauma or injuries. Contact sports may increase the risk for injuries, but they don't specifically point to the indirect nature of fatalities associated with environmental factors, as in the case of heat stroke. A blow to the head and blunt chest trauma are examples of direct injuries that can lead to fatalities through immediate and acute circumstances. Understanding these distinctions is important for recognizing various risks in athletic contexts.