加拿大与运动有关的突然心脏骤停:发生率和存活率
Mika'il Visanji1, Katherine S Allan2, Manya Charette3
1McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada.
The Canadian journal of cardiology
|February 7, 2025
概括
与运动相关的突然心脏骤停 (SCA) 不常见,主要影响在娱乐活动期间的中年男性. 旁观者干预的高率导致加拿大各省的生存率超过50%.
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:
- 与运动相关的突然心脏骤停 (SCA) 通常与年轻运动员有关,但在中年娱乐参与者中更为普遍.
- 这项研究检查了加拿大5个省份的SCA流行病学,覆盖了1090万人口.
研究的目的:
- 在加拿大大大人口中描述与运动相关的突然心脏骤停 (SCA) 的发生率和特征.
- 为了确定体育参与期间与SCA相关的风险因素和结果.
主要方法:
- 一项回顾性队列研究分析了医院外SCA的紧急医疗服务记录.
- 包括18-85岁的患者,在2016年至2020年期间体育活动期间或体育活动后一小时内经历SCA.
主要成果:
- 在18769个SCA中,有339个 (1.8%) 与体育有关,主要是男性 (93.8%),平均年龄为58.1岁.
- 发病率为每10万人/年1.2人,男性明显高于男性. 大多数事件发生在娱乐设施中.
- 观察到高率的旁观者目击事件 (75.6%) 和旁观者心肺复苏 (73.6%),其中36.1%接受了AED冲击. 在医院出院后的生存率为52.0%.
结论:
- 与运动相关的突然心脏骤停 (SCA) 很少发生,但在中年娱乐运动员中很明显.
- 高率的旁观者干预,包括心肺复苏和AED使用,至关重要.
- 与体育相关的SCA后的生存率很大,这强调了迅速应急反应的重要性.
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