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Sudden Cardiac Arrest during Participation in Competitive Sports.
The New England Journal of Medicine ( IF 96.2 ) Pub Date : 2017-11-16 , DOI: 10.1056/nejmoa1615710
Cameron H Landry 1 , Katherine S Allan 1 , Kim A Connelly 1 , Kris Cunningham 1 , Laurie J Morrison 1 , Paul Dorian 1 ,
Affiliation  

BACKGROUND The incidence of sudden cardiac arrest during participation in sports activities remains unknown. Preparticipation screening programs aimed at preventing sudden cardiac arrest during sports activities are thought to be able to identify at-risk athletes; however, the efficacy of these programs remains controversial. We sought to identify all sudden cardiac arrests that occurred during participation in sports activities within a specific region of Canada and to determine their causes. METHODS In this retrospective study, we used the Rescu Epistry cardiac arrest database (which contains records of every cardiac arrest attended by paramedics in the network region) to identify all out-of-hospital cardiac arrests that occurred from 2009 through 2014 in persons 12 to 45 years of age during participation in a sport. Cases were adjudicated as sudden cardiac arrest (i.e., having a cardiac cause) or as an event resulting from a noncardiac cause, on the basis of records from multiple sources, including ambulance call reports, autopsy reports, in-hospital data, and records of direct interviews with patients or family members. RESULTS Over the course of 18.5 million person-years of observation, 74 sudden cardiac arrests occurred during participation in a sport; of these, 16 occurred during competitive sports and 58 occurred during noncompetitive sports. The incidence of sudden cardiac arrest during competitive sports was 0.76 cases per 100,000 athlete-years, with 43.8% of the athletes surviving until they were discharged from the hospital. Among the competitive athletes, two deaths were attributed to hypertrophic cardiomyopathy and none to arrhythmogenic right ventricular cardiomyopathy. Three cases of sudden cardiac arrest that occurred during participation in competitive sports were determined to have been potentially identifiable if the athletes had undergone preparticipation screening. CONCLUSIONS In our study involving persons who had out-of-hospital cardiac arrest, the incidence of sudden cardiac arrest during participation in competitive sports was 0.76 cases per 100,000 athlete-years. The occurrence of sudden cardiac arrest due to structural heart disease was uncommon during participation in competitive sports. (Funded by the National Heart, Lung, and Blood Institute and others.).

中文翻译:

参加竞技运动期间突然的心脏骤停。

背景技术在参加体育活动期间突然的心脏骤停的发生率仍然未知。旨在防止体育活动中突然心脏骤停的参与前筛查计划被认为能够识别高风险运动员。但是,这些程序的有效性仍存在争议。我们试图确定在加拿大特定地区参加体育活动期间发生的所有突然的心脏骤停,并确定其原因。方法在这项回顾性研究中,我们使用Rescu Epistry心脏骤停数据库(该记录包含网络区域医护人员每次心脏骤停的记录)来识别从2009年到2014年发生在院内的所有院外心脏骤停的患者(12到12岁)。参加运动时年满45岁。根据多个来源的记录,包括救护车呼叫报告,尸检报告,医院数据以及以下情况的记录,将案件判定为突发性心脏骤停(即有心脏原因)或非心脏原因导致的事件。直接采访患者或家庭成员。结果在1850万人年的观察过程中,参加一项运动期间发生了74次心脏骤停。其中,有16项发生在竞技运动中,有58项发生在非竞技性运动中。竞技运动中突然的心脏骤停发生率为每100,000运动员年0.76例,其中43.8%的运动员幸存下来直到出院。在竞技运动员中,2例死亡归因于肥厚型心肌病,无1例归因于心律失常的右室心肌病。如果对运动员进行了参与前的筛查,则可以确定在参加竞技运动期间发生的三例心脏骤停的情况是可以确定的。结论在一项涉及院外心脏骤停患者的研究中,参加竞技运动期间突发心脏骤停的发生率为每100,000运动员年0.76例。参加竞技运动期间,因结构性心脏病而导致的突然心脏骤停的情况很少见。(由美国国家心脏,肺和血液研究所及其他机构资助。)如果对运动员进行了参与前的筛查,则可以确定在参加竞技运动期间发生的三例心脏骤停的情况是可以确定的。结论在一项涉及院外心脏骤停患者的研究中,参加竞技运动期间突发心脏骤停的发生率为每100,000运动员年0.76例。参加竞技运动期间,因结构性心脏病而导致的突然心脏骤停的情况很少见。(由美国国家心脏,肺和血液研究所及其他机构资助。)如果对运动员进行了参与前的筛查,则可以确定在参加竞技运动期间发生的三例心脏骤停的情况是可以确定的。结论在一项涉及院外心脏骤停患者的研究中,参加竞技运动期间突发心脏骤停的发生率为每100,000运动员年0.76例。参加竞技运动期间,因结构性心脏病而导致的突然心脏骤停的情况很少见。(由美国国家心脏,肺和血液研究所及其他机构资助。)参加竞技运动时突然的心脏骤停发生率为每100,000运动员年0.76例。参加竞技运动期间,因结构性心脏病而导致的突然心脏骤停的情况很少见。(由美国国家心脏,肺和血液研究所及其他机构资助。)参加竞技运动时突然的心脏骤停发生率为每100,000运动员年0.76例。参加竞技运动期间,因结构性心脏病而导致的突然心脏骤停的情况很少见。(由美国国家心脏,肺和血液研究所及其他机构资助。)
更新日期:2017-11-16
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