在足球运动中,COVID-19是否导致更多的突然心脏病死亡?
Ana Ukaj1, Tim Meyer2, Florian Egger2
1Institute of Sports and Preventive Medicine, Saarland University, Campus Geb. B 8.2, 66123, Saarbrücken, Germany. ana.ukaj@uni-saarland.de.
概括
足球运动员的突然心脏死亡 (SCD) 和突然心脏骤停 (SCA) 率在COVID-19大流行期间没有增加. 心肌炎和冠状动脉疾病 (CAD) 病例保持稳定,表明这些心脏事件没有显著增加.
科学领域:
- 运动医学 运动医学
- 心脏病学 心脏病学
- 流行病学 流行病学
背景情况:
- COVID-19大流行对足球运动员突然心脏死亡 (SCD) 和突然心脏骤停 (SCA) 的影响尚不清楚.
- 调查SARS-CoV-2感染与心肌炎和冠状动脉疾病 (CAD) 等心脏病之间的潜在联系至关重要.
研究的目的:
- 为了比较全球足球运动员中SCD/SCA的发病率,在大流行前的时代和COVID-19大流行期间.
- 评估心肌炎和CAD在这些时期的足球运动员中作为SCD/SCA原因的患病率.
主要方法:
- 关于SCD/SCA的数据是从未来的FIFA (国际足联) 突然死亡登记册中提取的.
- 在1151天的流行前期和相当于1151天的COVID-19流行期间之间进行了比较分析.
- 特别关注的是可能与SARS-CoV-2相关的心脏病,包括心肌炎和CAD.
主要成果:
- 在大流行前期间共发生了454起SCD/SCA事件 (生存率:24%),在COVID-19大流行期间发生了380起SCD/SCA事件 (生存率:27%),没有统计学意义上的差异 (p=0.27).
- 在疫情前,心肌炎占诊断的3% (6/191),心肌炎占诊断的36% (69/191).
- 在大流行期间,心肌炎占诊断的1% (1/136),CAD为43% (58/136),这些特定情况没有显著增加.
结论:
- 全球足球运动员中SCD/SCA的整体负担在COVID-19大流行期间与大流行前时期相比似乎没有增加.
- 心肌炎和CAD的发病率,与SCD/SCA相关的关键心脏疾病,也没有显示在大流行期间显著增加.
- 这些发现表明,在这个运动群体中,大流行并没有加剧突然心脏事件的风险.
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