長距離走行 の 際 の 心臓 発作
Jonathan H Kim1, Austin J Rim1, James T Miller1
1Emory Clinical Cardiovascular Research Institute, Emory School of Medicine, Atlanta, Georgia.
JAMA
|March 30, 2025
まとめ
マラソンとハーフマラソンでの心臓発作発生率は,参加率が増加したにもかかわらず,2010年から2023年の間に安定したままでした. 死亡率は著しく低下し,冠動脈疾患が主な原因であり,迅速な除細動と関連した生存率が改善しました.
科学分野:
- 心臓病科
- スポーツ医学
- 公衆衛生
背景:
- アメリカでのマラソンとハーフマラソンの参加率は 2010年から2023年の間に 過去10年と比較して3倍以上増加しました
- これらのイベントにおける心停止の発生率とアウトカムに関する現在のデータは,以前は知られていなかった.
研究 の 目的:
- 2010年から2023年の米国マラソンとハーフマラソンでの心臓発作の発生率と結果を決定する.
- 2000年から2009年の過去の基準値と現在のデータを比較する
主な方法:
- 人種関連心疾患の記録を用いた 観察ケースシリーズです
- アメリカマラソンとハーフマラソン選手のコホートデータ (2010-2023)
- 病因と生存因子の症例プロフィールレビュー,過去データとの比較
主要な成果:
- 約3千万の完成者の中で,176人の心臓発作が起こりました. 発生率は2000年~2009年と比較して安定していた (参加者10万人に0. 54).
- 心臓発作による死亡率は100,000人に0. 20対0. 39で著しく低下し,死亡率は減少した (34%対71%).
- 冠動脈疾患は最も一般的な原因で,心臓肺蘇生時間の短縮と心室動脈リズム低下が生存率と関連していた.
結論:
- 長期レースでの心臓発作の発生率は安定しています.
- 死亡率と死亡率の有意な減少が観察されました.
- 効果的な緊急対策計画,即時の除細動を含む,生存率の改善に寄与した可能性が高い.
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