Exercise-related out-of-hospital cardiac arrest in the general population: incidence and prognosis

Berdowski, Jocelyn; Beus, Margriet F. de; Blom, Marieke T.; Bardai, Abdennasser; Bots, Michiel L.; Doevendans, Pieter A.; Grobbee, Diederick E.; Tan, Hanno L.; Tijssen, Jan G.P.; Koster, Rudolph W.; Mosterd, Arend

doi:10.1093/eurheartj/eht401

Cited by 131 publications

(162 citation statements)

References 22 publications

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“…Consistent with previous reports,6, 22, 29, 30, 31 the majority of exercise‐related OHCAs among the general population were observed in men. The reasons for these differences between the sexes could not be determined from our data and may result from variations between men and women in exercise participation rates and duration or level of exertion during each exercise session.…”

Section: Discussionsupporting

confidence: 91%

“…Reports indicate that the incidence rate of exercise‐related OHCA among the general population varies according to study location: 22 (per million population per year) in the United States, 21 in The Netherlands, 6 in England, 5 in France, and 1 in Germany 6, 22, 29, 30, 31. These figures, however, cannot be directly compared with those in our study, owing to differences in participant ethnic distribution, exercise participation rates, target age range, study period, methodology for selecting the study population, and definition of exercise‐related OHCA.…”

Section: Discussionmentioning

confidence: 99%

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Exercise‐Related Out‐of‐Hospital Cardiac Arrest Among the General Population in the Era of Public‐Access Defibrillation: A Population‐Based Observation in Japan

Kiyohara

Nishiyama

Nishiuchi

et al. 2017

JAHA

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BackgroundExercise can trigger sudden cardiac arrest. Early initiation of cardiopulmonary resuscitation and automated external defibrillator use by laypersons could maximize the survival rate following exercise‐related out‐of‐hospital cardiac arrest (OHCA).Methods and Results OHCA data between 2005 and 2012 were obtained from a prospective population‐based OHCA registry in Osaka Prefecture. Patients with OHCA of presumed cardiac origin and occurring before emergency medical service personnel arrival were included. The incidence trends of exercise‐related OHCA over the 8‐year study period were assessed. Among patients with bystander‐witnessed, exercise‐related OHCA, the trends in the initiation of bystander cardiopulmonary resuscitation, public‐access defibrillation, and outcome were evaluated. The primary outcome was 1‐month survival with favorable neurological outcome, defined as cerebral performance category 1 or 2. During the study period, 0.7% of OHCAs of cardiac origin (222/31 030) were exercise related. The incidence of exercise‐related OHCA increased from 1.8 (per million population per year) in 2005 to 4.3 in 2012. Of these, 83.8% (186/222) were witnessed by bystanders. Among the patients with bystander‐witnessed, exercise‐related OHCA, the proportion that received bystander cardiopulmonary resuscitation (50.0% in 2005 and 86.2% in 2012) and public‐access defibrillation (7.1% in 2005 and 62.1% in 2012) significantly increased during the study period. Furthermore, the rate of 1‐month survival with favorable neurological outcome among these patients significantly improved (from 28.6% in 2005 to 58.6% in 2012).ConclusionsThe incidence rate of exercise‐related OHCA was low in the study population. The increase in bystander cardiopulmonary resuscitation and public‐access defibrillation rates were associated with improved outcome among patients with bystander‐witnessed, exercise‐related OHCA.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Exercise‐Related Out‐of‐Hospital Cardiac Arrest Among the General Population in the Era of Public‐Access Defibrillation: A Population‐Based Observation in Japan

Kiyohara

Nishiyama

Nishiuchi

et al. 2017

JAHA

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“…4,5 There is a similar incidence in Europe, with reports of out-of-hospital cardiac arrest ranging from 0.04 % to 0.1 %. [6][7][8] When the aetiological definition is limited to coronary artery disease (CAD) and its tachyarrhythmic burden, the estimate is <200,000 events per year. 9 Approximately 50 % of all cardiac deaths are sudden, and this proportion has remained unchanged despite the overall decrease in cardiovascular mortality in recent decades.…”

Section: Epidemiologymentioning

confidence: 99%

“…8,[14][15][16] Although the vast majority of such cases occur during middle age, they represent a relatively small proportion (5 %) of overall sudden cardiac arrest cases. 17 The sports-related sudden death rate is higher in elite athletes, with a reported incidence of 1:8,253 participants per year in the National Collegiate Athletic Association (NCAA).…”

Section: Department Of Defense Cardiovascular Death Registry In the Umentioning

confidence: 99%

A Clinical Perspective on Sudden Cardiac Death

2016

Arrhythmia &Amp; Electrophysiology Review

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This article presents the epidemiology, aetiology and pathophysiology of sudden cardiac death. The modern management of survivors as well as of family members of victims is discussed, as are the relevant recommendations of guidelines prepared by learned societies. KeywordsOut-of-hospital cardiac arrest, sports-related sudden death, sudden cardiac death, sudden unexplained death syndrome Disclosure: The authors have no conflicts of interest to declare.

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“…Berdowski et al [16] reviewed out-of-hospital cardiac arrests in a Dutch province in persons aged 10-90 years. Of 2524 cardiac arrests, 143 (5.7 %) with mean age 59 were exercise related, of which 7 were younger than 35 years-old.…”

Section: Management Considerationsmentioning

confidence: 99%

Collapsed athlete – atraumatic

Wen

2014

Curr Rev Musculoskelet Med

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There are several potential causes for an athlete to collapse without trauma on the playing or practice field. Fortunately, most of the time the etiology is benign and recovery is rapid and uneventful. However, when faced with a collapsed athlete, medical personnel need to be prepared for life-threatening conditions until these conditions are ruled out. The most common cause of atraumatic sudden death in athletes is cardiac arrest, usually because of a variety of underlying cardiac conditions. Immediate initiation of CPR with rapid AED use can be the key to survival. Rectal temperature can detect possible heat stroke with need for immediate cooling instituted prior to athlete transport. Exertional hyponatremia is another cause of life-threatening collapse in prolonged endurance events such as marathons and triathlons.

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Exercise-related out-of-hospital cardiac arrest in the general population: incidence and prognosis

Cited by 131 publications

References 22 publications

Exercise‐Related Out‐of‐Hospital Cardiac Arrest Among the General Population in the Era of Public‐Access Defibrillation: A Population‐Based Observation in Japan

Exercise‐Related Out‐of‐Hospital Cardiac Arrest Among the General Population in the Era of Public‐Access Defibrillation: A Population‐Based Observation in Japan

A Clinical Perspective on Sudden Cardiac Death

Collapsed athlete – atraumatic

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