Myocardial infarction is a frequent cause of exercise-related resuscitated out-of-hospital cardiac arrest in a general non-athletic population

Søholm, Helle; Kjærgaard, Jesper; Thomsen, Jakob Hartvig; Bro-Jeppesen, John; Lippert, Freddy; Køber, Lars; Wanscher, Michael; Hassager, Christian

doi:10.1016/j.resuscitation.2014.06.033

Cited by 8 publications

(8 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…14,15 In more senior patients, coronary heart disease is responsible for most deaths associated with sports. 10,14,15 In young athletes, cardiomyopathies, congenital coronary anomalies or myocarditis become important. 16 In this regard, our results are consistent with the specified studies.…”

Section: Discussionmentioning

confidence: 99%

“…The mortality in most cases is due to an underlying heart abnormality that had previously gone unnoticed but the causes vary according to age groups . In more senior patients, coronary heart disease is responsible for most deaths associated with sports . In young athletes, cardiomyopathies, congenital coronary anomalies or myocarditis become important .…”

Section: Discussionmentioning

confidence: 99%

“…Therapeutic hypothermia was performed in those patients who presented cardiac arrest, remained comatose after return of spontaneous circulation and failed to respond to verbal commands. Neurological status at discharge by Cerebral Performance Categories Scale (CPC) was assessed in those patients who survived to hospital admission.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Exercise‐related severe cardiac events

Vicent

Arizá-Solé

González-Juanatey

et al. 2018

Scandinavian Med Sci Sports

View full text Add to dashboard Cite

Physical activity has benefits on health. However, there is a small risk of effort-related adverse events. The aim of this study is to describe exercise-related severe cardiovascular events and to relate them with the type of sport performed. We performed a ten-year retrospective study in eight Spanish cardiac intensive care units. Adverse cardiac events were defined as acute myocardial infarction, cardiac arrest or syncope related to physical activity. From 117 patients included, 109 were male (93.2%), and mean age was 51.6 ± 12.3 years; 56 presented acute myocardial infarction without cardiac arrest (47.9%), 55 sudden cardiac death (47.0%) and six syncope (5.1%). The sports with higher number of events were cycling (33%-28.2%), marathon or similar running competitions (19%-16.2%), gymnastics (18%-15.3%) and soccer (17%-14.5%). Myocardial infarction was observed more frequently in cyclists compared to other sports (69.7% vs 39.3%, P = .001). The most common cause of sudden cardiac death was myocardial infarction in those >35 years (23%-63.9%) and idiopathic ventricular fibrillation in younger patients (5%-62.5%). Significant coronary artery disease was present in 85 (79.4%). Only one patient with cardiac arrest presented with a non-shockable rhythm (asystole). Eleven patients (9.4%) died during hospitalization; in all cases, they had presented cardiac arrest. All discharged patients were alive at the end of follow-up. Exercise-related severe cardiac events are mainly seen in men. Coronary heart disease is very frequent; about half present acute myocardial infarction and the other half cardiac arrest. In our cohort, prognosis was good in patients without cardiac arrest.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Exercise‐related severe cardiac events

Vicent

Arizá-Solé

González-Juanatey

et al. 2018

Scandinavian Med Sci Sports

View full text Add to dashboard Cite

show abstract

“…Since a healthy lifestyle that includes daily physical activity, weight management, and a balanced diet is recommended to reduce the risk of cardiovascular disease, the population that is enjoying physical exercise, including jogging and physical training in sports facilities, is increasing [ 23 ]. However, it is well known that the risk of an acute cardiac event, including sudden cardiac arrest, is transiently increased during or shortly after vigorous physical activity [ 24 , 25 ]. OHCAs witnessed by laypersons in this study had larger METs of physical activities and longer EMS response time.…”

Section: Discussionmentioning

confidence: 99%

“…The most common cause of exercise-related arrest was acute coronary syndrome, and the majority of them had a shockable rhythm at the scene [ 4 , 24 , 26 ]. In this study, more than half of the study population had a shockable rhythm as primary cardiac rhythm at the scene and 66.0% had received defibrillation during prehospital CPR by an EMS provider or bystander.…”

Section: Discussionmentioning

confidence: 99%

Effect of a first responder on survival outcomes after out-of-hospital cardiac arrest occurs during a period of exercise in a public place

Shin

et al. 2018

PLoS ONE

View full text Add to dashboard Cite

IntroductionThe deployment of first responders in a public place is one of the interventions that is used for increasing bystander cardiopulmonary resuscitation (CPR) of out-of-hospital cardiac arrests (OHCA). We studied the association between the presence of a first responder and the survival of OHCA that occurred during a period of exercise in a public place.MethodsAll of the adult OHCAs of a presumed cardiac etiology that occurred during a period of exercise in a public place and that were witnessed by a bystander between 2013 and 2015 were analyzed. The main exposure of interest was the characteristics of the bystander (first responder vs. layperson). The endpoints were the provision of bystander CPR and good neurological recovery. Multivariable logistic regression analysis, adjusting for patient-environment and prehospital factors, was performed.ResultsA total of 870 patients had a cardiac arrest during a period of exercise in a public place, and 58 (6.7%) patients were witnessed by the first responder. The OHCAs witnessed by first responders were more likely to result in bystander CPR than those witnessed by laypersons (89.7% vs. 75.4%, p = 0.01, adjusted OR (95% CI): 3.51 (1.44–8.55)). In terms of good neurological recovery, the OHCAs witnessed by first responders had a higher likelihood than the patients witnessed by laypersons (37.9% vs, 24.0%, p = 0.02, adjusted OR (95% CI): 2.92 (1.33–6.40)).ConclusionThe OHCAs occurred during a period of exercise in a public place and whom first responders witnessed were more likely to receive bystander CPR and to have a neurologically intact survival.

show abstract