在长途跑步比赛中心脏骤停
Jonathan H Kim1, Austin J Rim1, James T Miller1
1Emory Clinical Cardiovascular Research Institute, Emory School of Medicine, Atlanta, Georgia.
JAMA
|March 30, 2025
概括
2010-2023年间,尽管参与率增加,但马拉松和半马拉松的心脏病发作率保持稳定. 死亡率显著下降,冠状动脉疾病是主要原因,与快速除相关的生存率改善.
科学领域:
- 心脏病学
- 运动医学
- 公共卫生
背景情况:
- 在美国,马拉松和半马拉松的参与率在2010-2023年间升,与前十年相比增长了三倍以上.
- 目前关于心脏骤停发生率和这些事件的结果的数据以前是未知的.
研究的目的:
- 确定2010年至2023年美国马拉松和半马拉松期间心脏病发作的发生率和结果.
- 将当代数据与2000-2009年的历史参考标准进行比较.
主要方法:
- 一个使用种族相关心脏事件登记的观察案例系列.
- 美国马拉松和半马拉松运动员的队列数据 (2010-2023年).
- 对病因和生存因素的病例概况审查,并与历史数据进行比较.
主要成果:
- 在近三千万名完成者中, 发生了176次心脏骤停. 与2000年至2009年相比,发病率保持稳定 (每10万参与者0. 54).
- 心脏病死亡率显著下降 (0. 20对0. 39每10万人),病例死亡率降低 (34%对71%).
- 冠状动脉疾病是最常见的原因;较短的心肺复苏时间和腹腔动脉节律失常与生存有关.
结论:
- 尽管参赛人数增加, 但心脏病发病率在长距离比赛中保持稳定.
- 死亡率和病例死亡率显著下降.
- 有效的应急行动计划,包括立即除,可能有助于改善生存率.
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