国立 大学 陸上競技 協会 の 選手 たち の 中 で 突発 心臓 発作 の 死: 20 年 間 の 研究
Bradley J Petek1,2,3, Timothy W Churchill2,3, Nathaniel Moulson4
1Sports Cardiology Program, Knight Cardiovascular Institute, Oregon Health and Science University, Portland (B.J.P.).
Circulation
|November 13, 2023
まとめ
大学選手の突然心臓死 (SCD) の発生率は減少しています. SCDのリスクは男性,黒人,バスケットボール選手で高く,運動運動は一般的です.
科学分野:
- 心臓病科
- スポーツ医学
- 公衆衛生
背景:
- 若い競技選手の突然心臓死 (SCD) は,政策開発の重要な懸念事項です.
- SCDの発生率と原因を理解することは,予防戦略にとって不可欠です.
研究 の 目的:
- 国立大学陸上競技協会 (NCAA) の選手の20年間のSCDの発生率,原因,傾向を分析する.
- 大学生のスポーツ選手におけるSCDに関連する人口統計学的およびスポーツ特有のリスク要因を特定する.
主な方法:
- 2002年7月1日から2022年6月30日までのNCAAアスリート死亡を4つの独立したデータベースを使用してレビューしました.
- 専門家パネルは解剖報告と病歴のレビューを通してSCDの原因を判断しました.
- 性別,人種,スポーツによって分類されたSCD発生率.
主要な成果:
- NCAAの死亡者1102人のうち143人のSCDを特定しました.
- 総合的なSCD発生率は1: 63,682アスリート年であり,男性と黒人アスリートではより高い.
- SCDの発生率は,研究期間中に減少したが,男性バスケットボール選手では高いままでした.
- 検死結果が否定的な突然死と心筋病は一般的であり,運動によるSCDは50%で発生した.
結論:
- NCAA選手のSCDの発生率は過去20年間で大幅に減少しています.
- 男性の性別,黒人人種,バスケットボールの参加は,SCDのリスクが高いと関連しています.
- 継続的なモニタリングと標的型予防戦略は,若いアスリートにおけるSCDの減少に不可欠です.
関連する概念動画
01:20Exercise and Cardiovascular Response
830
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
830
01:30Coronary Artery Disease III: Clinical Manifestations
12
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
12
01:30Acute Coronary Syndrome III: Diagnostic Studies
9
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
9
01:29Pathophysiology of Cardiac Performance
675
Typical heart performance is influenced by heart rate, rhythm, myocardial contraction, and metabolism or blood flow. The cardiac muscle exhibits distinct electrophysiological features, including pacemaker activity and calcium channel control, which play a vital role in the heart's response to various drugs. The autonomic nervous system, comprising the sympathetic and parasympathetic branches, regulates heart rate. Sympathetic activation increases heart rate, while parasympathetic activation...
675
01:26Coronary Artery Disease II: Pathophysiology
12
Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
12
01:17Ischemic Heart Disease: Overview
1.3K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
1.3K