予備予備スクリーニングプログラムの実施後の若手競技選手における突然の心臓血管疾患による死亡の傾向
Domenico Corrado1, Cristina Basso, Andrea Pavei
1Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua Medical School, Padua, Italy.
JAMA
|October 5, 2006
まとめ
イタリアのpreparticipationアスリートスクリーニングは,若いアスリートにおける突然心血管疾患による死亡を89%大幅に減少させた. この減少は,特に心筋疾患によるもので,アスリートの死亡を予防する際の体系的なスクリーニングの有効性を強調しています.
科学分野:
- 心臓病学 心臓病学
- スポーツ医学 スポーツ医学
- 公衆衛生は公衆衛生である.
背景:
- イタリアでは1982年に全国的な有系統的な参加準備運動スクリーニングプログラムが実施されました.
- スポーツ選手の突然の心臓血管疾患による死亡を防ぐためのプログラムの効果には,決意が必要でした.
研究 の 目的:
- 若い競技アスリートにおける突然死亡の発生率と心血管疾患による原因の動向を分析する.
- 予備スクリーニングとこれらの傾向との関係を評価する.
主な方法:
- 人口ベースの研究では,1979年から2004年にかけてイタリアのヴェネト地方のアスリートと非アスリート (12歳から35歳) の突然心血管疾患による死亡傾向を分析した.
- 同時に実施された研究では,スクリーニングを受けていた42,386人のアスリートにおいて,失格の原因となる心血管疾患を調査した.
主要な成果:
- スポーツ選手の突然心血管疾患による死亡率は,スクリーニング後の89% (3.6〜0.4人当たり10万人年) 減少したが,非スポーツ選手は大きな変化を示さなかった.
- この減少は主に心筋疾患による死亡が少なく,相対的なリスクは後期のスクリーニング期間に著しく減少したためであった.
- 心血管疾患の不合格は増加し,時間の経過とともに心筋病に起因する比率が高くなっています.
結論:
- イタリアにおける全国的な体系的なスクリーニングは,若いアスリートにおける突然の心臓血管疾患による死亡を大幅に減少させました.
- 死亡率の減少は,主に心筋疾患による突然死亡の発生率の減少に起因する.
- 予備スクリーニング中に心筋疾患を持つアスリートの識別が増加することは,この死亡率の減少と相関しています.
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