在实施准备参加查计划后,年轻竞技运动员突然心血管死亡的趋势
Domenico Corrado1, Cristina Basso, Andrea Pavei
1Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua Medical School, Padua, Italy.
JAMA
|October 5, 2006
概括
意大利的准备性体育查显著减少了89%的年轻运动员突然心血管死亡. 这种下降,特别是来自心肌病的下降,凸显了系统查在预防运动员死亡方面的有效性.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 公共卫生 公共卫生
背景情况:
- 1982年,意大利实施了一项全国性的系统性准备参加体育选计划.
- 该计划对预防运动员突然心血管死亡的影响需要决心.
研究的目的:
- 分析年轻竞技运动员突然死亡的发病率和心血管原因的趋势.
- 评估准备参加查和这些趋势之间的关系.
主要方法:
- 一项以人口为基础的研究分析了意大利威尼托地区的运动员和非运动员 (12-35岁) 从1979年至2004年突然心血管死亡的趋势.
- 一项并行研究检查了42386名接受查的运动员的失格的心血管原因.
主要成果:
- 运动员的突然心血管死亡发生率在查后下降了89% (3.6到0.4每10万人年),而非运动员没有显著变化.
- 这一下降主要是由于心肌病死亡人数减少,而相对风险在晚期查期间显著下降.
- 心血管失格率增加,随着时间的推移,与心肌病相关的比例更高.
结论:
- 在意大利,全国范围的系统查已经大大减少了年轻运动员的突然心血管死亡.
- 死亡率的降低在很大程度上归因于心肌病突然死亡的发病率下降.
- 在准备查期间,增加了对心肌病患者的运动员的识别,与这种死亡率下降相关.
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