Sports-related sudden cardiac deaths in the young population of Switzerland.

Détails

Ressource 1Télécharger: pone.0174434.pdf (1091.83 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_8A2EEABDAC98
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Sports-related sudden cardiac deaths in the young population of Switzerland.
Périodique
PloS one
Auteur(s)
Asatryan B., Vital C., Kellerhals C., Medeiros-Domingo A., Gräni C., Trachsel L.D., Schmied C.M., Saguner A.M., Eser P., Herzig D., Bolliger S., Michaud K., Wilhelm M.
ISSN
1932-6203 (Electronic)
ISSN-L
1932-6203
Statut éditorial
Publié
Date de publication
2017
Peer-reviewed
Oui
Volume
12
Numéro
3
Pages
e0174434
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
In Switzerland, ECG screening was first recommended for national squad athletes in 1998. Since 2001 it has become mandatory in selected high-risk professional sports. Its impact on the rates of sports-related sudden cardiac death (SCD) is unknown.
We aimed to study the incidence, causes and time trends of sports-related SCD in comparison to SCD unrelated to exercise in Switzerland.
We reviewed all forensic reports of SCDs of the German-speaking region of Switzerland in the age group of 10 to 39 years, occurring between 1999 and 2010. Cases were classified into three categories based on whether or not deaths were associated with sports: no sports (NONE), recreational sports (REC), and competitive sports (COMP).
Over the 12-year study period, 349 SCD cases were recorded (mean age 30±7 years, 76.5% male); 297 cases were categorized as NONE, 31 as REC, and 21 as COMP. Incidences of SCD per 100,000 person-years [mean (95% CI)] were the lowest in REC [0.43 (0.35-0.56)], followed by COMP [1.19 (0.89-1.60)] and NONE [2.46 (2.27-2.66)]. In all three categories, coronary artery disease (CAD) with or without acute myocardial infarction (MI) was the most common cause of SCD. Three professional athletes were identified in COMP category which all had SCD due to acute MI. There were no time trends, neither in overall, nor in cause-specific incidences of SCD.
The incidence of SCD in young individuals in Switzerland is low, both related and unrelated to sports. In regions, like Switzerland, where CAD is the leading cause of SCD associated with competitions, screening for cardiovascular risk factors in addition to the current PPS recommendations might be indicated to improve detection of silent CAD and further decrease the incidence of SCD.

Pubmed
Web of science
Open Access
Oui
Création de la notice
04/04/2017 17:32
Dernière modification de la notice
20/08/2019 14:49
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