Background-Although such data are available for young competitive athletes, the prevalence, characteristics, and outcome of sports-related sudden death have not been assessed previously in the general population. Methods and Results-A prospective and comprehensive national survey was performed throughout France from 2005 to 2010, involving subjects 10 to 75 years of age. Case detection for sports-related sudden death, including resuscitated cardiac arrest, was undertaken via national ambulance service reporting and Web-based screening of media releases. The overall burden of sports-related sudden death was 4.6 cases per million population per year, with 6% of cases occurring in young competitive athletes. Sensitivity analyses used to address suspected underreporting demonstrated an incidence ranging from 5 to 17 new cases per million population per year. More than 90% of cases occurred in the context of recreational sports. The age of subjects was relatively young (meanϮSD 46Ϯ15 years), with a predominance of men (95%). Although most cases were witnessed (93%), bystander cardiopulmonary resuscitation was only commenced in 30.7% of cases. Bystander cardiopulmonary resuscitation (odds ratio 3.73, 95% confidence interval 2.19 to 6.39, PϽ0.0001) and initial use of cardiac defibrillation (odds ratio 3.71, 95% confidence interval 2.07 to 6.64, PϽ0.0001) were the strongest independent predictors for survival to hospital discharge (15.7%, 95% confidence interval 13.2% to 18.2%). Conclusions-Sports-related sudden death in the general population is considerably more common than previously suspected. Most cases are witnessed, yet bystander cardiopulmonary resuscitation was only initiated in one third of cases. Given the often predictable setting of sports-related sudden death and that prompt interventions were significantly associated with improved survival, these data have implications for health services planning. (Circulation. 2011;124: 672-681.)Key Words: arrhythmia Ⅲ cardiac arrest Ⅲ athletes Ⅲ cardiopulmonary resuscitation Ⅲ defibrillation Ⅲ bystander help Ⅲ exercise, physical A lthough regular physical activity benefits cardiovascular health, 1 sport, particularly when practiced vigorously, has been shown to increase the risk of dying suddenly during or shortly after exercise. 2,3 The devastating consequences of unexpected sports-related sudden death (SD) and the recent availability of public access defibrillation mandate a thorough understanding of this phenomenon across the general population. 4 -6 To date, the large majority of data regarding sports-related SD have focused on young competitive athletes, 7,8 whereas literature on sports-related SD during recreational sports activities in the community remains sparse. 9,10 No prospective evaluation of sports-related SD in the general population, including young competitive athletes, has been published to date. Clinical Perspective on p 681Sports-related SDs in young competitive athletes are highly visible and usually attract considerable public and media atten...

All the main air pollutants, with the exception of ozone, were significantly associated with a near-term increase in MI risk.

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Background-No specific data are available on characteristics and outcome of sudden cardiac death (SCD) during sport activities among women in the general population. Methods and Results-From a prospective 5-year national survey, involving 820 subjects 10 to 75 years old who presented with SCD (resuscitated or not) during competitive or recreational sport activities, 43 (5.2%) such events occurred in women, principally during jogging, cycling, and swimming. Conclusions-Sports-related

Data whether the COVID-19 outbreak impacts the acute coronary syndromes (ACS) admissions and the time required to reverse the downward curve are scarce. We included all consecutive patients referred for an ACS who underwent PCI from February 17, 2020 to April 26, 2020 in a high-volume PCI coronary care unit. We compared the number of ACS patients in 2020 to the same period in 2018 and 2019. Predictors of adverse outcome in ST-elevation myocardial infarction (STEMI) patients were recorded: symptom-onset-to-first medical contact (FMC), and FMC-to-sheath insertion times. During the studied period (calendar weeks 8-17, 2018-2020), 144 ACS patients were included. In 2020, we observed two distinct phases in the ACS admissions: a first significant fall, with a relative reduction of 73%, from the week of lockdown (week 12) to 3 weeks later and then an increase of ACS. Median symptom-onset-to-FMC time was significantly higher in 2020 than in the two previous years (600 min versus 121 min [55-291], p < 0.001). Median FMC-to-sheath insertion did not differ significantly (93 min in 2020 versus 90 min in 2018-2019, p = 0.57). The main findings are (1) a pattern of a U-curve in ACS admissions, with a first decrease in ACS admissions and a return to "normality" 4 weeks after;(2) a significant increase in the total ischemic time exclusively due to an increase in the symptom-onset-to-first-medicalcontact time.

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Major regional disparities exist in survival rates (up to 10-fold) after SCA during sports. SCA cases from regions with the highest levels of bystander resuscitation had the best survival rates to hospital admission and discharge.

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