The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.
Sudden Cardiac Arrest During Sports Activity in Middle Age
Open accessAbstract
Background—: Sports-associated sudden cardiac arrests (SCAs) occur mostly during middle age. We sought to determine the burden, characteristics, and outcomes of SCA during sports among middle-aged residents of a large US community. Methods and Results—: Patients with SCA who were 35 to 65 years of age were identified in a large, prospective, population-based study (2002–2013), with systematic and comprehensive assessment of their lifetime medical history. Of the 1247 SCA cases, 63 (5%) occurred during sports activities at a mean age of 51.1±8.8 years, yielding an incidence of 21.7 (95% confidence interval, 8.1–35.4) per 1 million per year. The incidence varied significantly by sex, with a higher incidence among men (relative risk, 18.68; 95% confidence interval, 2.50–139.56) for sports SCAs compared with all other SCAs (relative risk 2.58; 95% confidence interval, 2.12–3.13). Sports SCA was also more likely to be a witnessed event (87% versus 53%; P <0.001) with cardiopulmonary resuscitation (44% versus 25%; P =0.001) and ventricular fibrillation (84% versus 51%; P <0.0001). Survival to hospital discharge was higher for sports-associated SCA (23.2% versus 13.6%; P =0.04). Sports SCA cases presented with known preexisting cardiac disease in 16% and ≥1 cardiovascular risk factors in 56%, and overall, 36% of cases had typical cardiovascular symptoms during the week preceding the SCA. Conclusions—: Sports-associated SCA in middle age represents a relatively small proportion of the overall SCA burden, reinforcing the idea of the high-benefit, low-risk nature of sports activity. Especially in light of current population aging trends, our findings emphasize that targeted education could maximize both safety and acceptance of sports activity in the older athlete.
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Cites
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“4) during vigorous activity among men enrolled in the Physicians’ Health Study.(20,21) Similar sex differences have also been reported in smaller retrospective studies in Finland and in the United States.”
BackgroundMethodResultInfluentialExercise-related out-of-hospital cardiac arrest in the general population: incidence and prognosis
Berdowski, J., de Beus, M. F., Blom, M., Bardai, A., Bots, M. L., Doevendans, P. A., Grobbee, D. E., Tan, H. L., Tijssen, J. G. P., Koster, R. W., et al. (2013) · European Heart Journal · doi:10.1093/eurheartj/eht401 · Cited by 148
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Cited by
Zeppenfeld, K., Tfelt-Hansen, J., de Riva, M., Winkel, B. G., Behr, E. R., Blom, N. A., Charron, P., Corrado, D., Dagres, N., de Chillou, C., et al. (2022) · European Heart Journal · doi:10.1093/eurheartj/ehac262 · Cited by 3,140
Self-citation2020 ESC guidelines on sports cardiology and exercise in patients with cardiovascular disease
Pelliccia, A., Sharma, S., Gati, S., Bäck, M., Börjesson, M., Caselli, S., Collet, J.-P., Corrado, D., Drezner, J. A., Halle, M., et al. (2021) · European Heart Journal · doi:10.1093/eurheartj/ehaa605 · Cited by 1,958
Mechanistic Pathways of Sex Differences in Cardiovascular Disease
Regitz-Zagrosek, V., & Kararigas, G. (2017) · Physiological Reviews · doi:10.1152/physrev.00021.2015 · Cited by 732
Franklin, B. A., Thompson, P. D., Al-Zaiti, S. S., Albert, C. M., Hivert, M.-F., Levine, B. D., Lobelo, F., Madan, K., Sharrief, A. Z., Eijsvogels, T. M. H., et al. (2020) · Circulation · doi:10.1161/cir.0000000000000749 · Cited by 410
Marijon, E., Narayanan, K., Smith, K., Barra, S., Basso, C., Blom, M. T., Crotti, L., D'Avila, A., Deo, R., Dumas, F., et al. (2023) · The Lancet · doi:10.1016/s0140-6736(23)00875-9 · Cited by 313
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Metadata
- Authors
- Marijon, E., Uy-Evanado, A., Reinier, K., Teodorescu, C., Narayanan, K., Jouven, X., Gunson, K., Jui, J., & Chugh, S. S.
- Venue
- Circulation
- Published
- 2015-04-21
- Volume
- 131
- Issue
- 16
- Pages
- 1384-1391
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2048048445
- Cited by
- 213
- References
- 7
- FWCI
- 17.40
- Type
- journal article
- Language
- en
- Open access
- green
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