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Published on: May 28, 2019
Hockey Games and the Incidence of ST-Elevation Myocardial Infarction
Caroline E Gebhard1, Catherine Gebhard2, Foued Maafi3
1Montreal Heart Institute, Montreal, Quebec, Canada; Department of Anaesthesiology and Intensive Care Medicine, University Hospital Basel, Basel, Switzerland.
Insights
Watching hockey games, particularly Montreal Canadiens victories, was linked to increased heart attacks (STEMI) in men. The risk was highest for younger men, suggesting a need for behavioral interventions.
Area of Science:
- Cardiology
- Public Health
- Sports Medicine
Background:
- The link between acute ST-elevation myocardial infarction (STEMI) and ice hockey games in Canada remains unexplored.
- Understanding potential triggers for STEMI is crucial for public health initiatives.
Purpose of the Study:
- To investigate the association between National Hockey League (NHL) games and daily hospital admissions for STEMI.
- To determine if specific game outcomes, like team victories, correlate with increased STEMI events.
Main Methods:
- A retrospective analysis was conducted on STEMI admissions at the Montreal Heart Institute from June 2010 to December 2014.
- Data on Montreal Canadiens game dates and STEMI admissions were compared to identify correlations.
Main Results:
- While overall STEMI admissions showed a non-significant increase after games, a significant rise was observed in men (P=0.04).
- STEMI risk significantly increased following Montreal Canadiens victories (HR, 1.15; P=0.037), particularly in men (HR, 1.2; P=0.02).
- Younger men (under 55) exhibited the most pronounced increased risk (HR, 1.4; P=0.009) after wins.
Conclusions:
- Hockey games, especially wins, are associated with a higher risk of STEMI, particularly in men.
- The findings highlight a need for targeted preventive strategies and behavioral interventions for at-risk populations, such as younger men.
Background:
The association between diagnosed acute ST-elevation myocardial infarction (STEMI) and hockey games in the Canadian population is unknown.
Methods:
We retrospectively analyzed the association between hockey games of the National Hockey League Montreal Canadiens and daily hospital admissions for acute STEMI at the Montreal Heart Institute, Canada.
Results:
Between June 2010 and December 2014, a total of 2199 patients (25.9% women; mean age, 62.6 ± 12.4 years) were admitted for acute STEMI. An increase in STEMI admissions was observed the day after a hockey game of the Montreal Canadiens in the overall population (from 1.3 ± 1.2 to 1.5 ± 1.3), however, this difference was not significant (P = 0.1). The number of STEMI admissions increased significantly from 0.9 ± 1.0 to 1.2 ± 1.0 per day in men (P = 0.04), but not in women (P = 0.7). The association between ice hockey matches and STEMI admission rates was strongest after a victory of the Montreal Canadiens. Accordingly, an increased risk for the occurrence of STEMI was observed in the overall population (hazard ratio [HR], 1.15; 95% confidence interval [CI], 1.0-1.3; P = 0.037) when the Montreal Canadiens won a match. This association was present in men (HR, 1.2; 95% CI, 1.03-1.4; P = 0.02) but not in women (P = 0.87), with a most pronounced effect seen in younger men (younger than 55 years; HR, 1.4; 95% CI, 1.1-1.8; P = 0.009).
Conclusions:
Although a weak association between hockey games and hospital admissions for STEMI was found in our overall population, the event of a hockey game significantly increased the risk for STEMI in younger men. Preventive measures targeting behavioural changes could positively affect this risk.
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