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[Acute myocardial infarction during sport]

M Fujiwara1, S Asakuma, K Nakamura

  • 1First Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya.

Journal of Cardiology
|October 1, 1995
PubMed
Summary

Acute myocardial infarction during sports is linked to common risk factors like smoking. Many affected individuals engaged in regular, seemingly safe exercises without prior medical evaluation.

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Area of Science:

  • Cardiology
  • Sports Medicine
  • Preventive Cardiology

Background:

  • Acute myocardial infarction (AMI) can occur during physical exertion.
  • Sports participation is generally encouraged for cardiovascular health.
  • Understanding the specific circumstances of sports-related AMI is crucial for prevention.

Purpose of the Study:

  • To investigate the characteristics of patients experiencing acute myocardial infarction during sports.
  • To identify associated sports, risk factors, and coronary findings.
  • To assess the role of pre-exercise medical evaluations.

Main Methods:

  • Retrospective analysis of 30 patients with AMI during sports.
  • Data collection on sport type, patient demographics, exercise habits, risk factors, and medical history.

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  • Coronary angiography to assess coronary artery disease severity.

    • Main Results:

    • Golf was the most frequent sport (12 patients), followed by jogging/running (5).
    • Most patients (90%) were male and had pre-existing coronary risk factors, notably smoking (18 patients).
    • Despite symptoms in some, only two patients had prior medical evaluation; angiography revealed significant coronary artery disease in most.

    Conclusions:

    • AMI during sports can affect individuals with significant coronary risk factors, even during low-to-moderate intensity activities.
    • Regular participation in sports does not preclude cardiac events.
    • Inadequate pre-participation medical screening may be a contributing factor.