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Data from a nationwide registry on sports-related sudden cardiac deaths in Germany
- Source :
- European Journal of Preventive Cardiology
- Publication Year :
- 2015
-
Abstract
- Background Prospective national registries examining the incidence and aetiology of sports-related sudden cardiac death (SrSCD) not only in competitive athletes but also in recreational sports participants are uncommon. In May 2012, a prospective registry on SrSCD was installed to examine the incidence and particularly the aetiology of such events in the general population in Germany. Methods The registry consists of a web-based platform to record SrSCD cases. Media-monitoring and cooperation with 15 institutes of forensic medicine complemented the search. SrSCD was defined as death occurring during sports activity or up to 1 hour after its cessation, regardless of successful resuscitation. We included subjects at all levels of competition as well as recreational athletes. Results After 30 months of observation, 144 SrSCDs were recorded (mean age 46.8 ± 16.2 years). The overall incidence was 1.2–1.5/million/year, with 97% being male. Most of the cases occurred in the context of non-elite competitive or recreational sports. Football and running were the most common disciplines. In subjects ≤35 years, myocarditis prevailed, whereas in athletes ≥35 years, CAD predominated by far. Few cardiomyopathies were observed. Conclusions In Germany, the largest proportion of SrSCDs occurs in middle-aged men during recreational sports or non-elite competitive sports. The distribution of cardiac diseases responsible for SrSCD seems to vary among European countries. Our findings may indicate the need for a larger focus on myocarditis prevention in the young as well as widening the screening scope to younger athletes below the ‘elite’ level and to senior athletes.
- Subjects :
- Adult
Male
medicine.medical_specialty
Competitive Behavior
Epidemiology
Population
Poison control
sudden death
Context (language use)
030204 cardiovascular system & hematology
Sudden death
Occupational safety and health
Sudden cardiac death
03 medical and health sciences
0302 clinical medicine
Age Distribution
prevention
Risk Factors
Germany
Injury prevention
Sports Cardiology
Medicine
Humans
030212 general & internal medicine
Prospective Studies
Registries
Sex Distribution
education
Original Scientific Papers
education.field_of_study
business.industry
Incidence (epidemiology)
Incidence
Middle Aged
medicine.disease
Death, Sudden, Cardiac
Athletes
Emergency medicine
cardiac screening
Female
Medical emergency
Cardiology and Cardiovascular Medicine
business
Sports
Subjects
Details
- ISSN :
- 20474881
- Volume :
- 23
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- European journal of preventive cardiology
- Accession number :
- edsair.doi.dedup.....05f43ca985a75c32b3def9ae7cc1ab98