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doi:10.22028/D291-38337
Titel: | Sports-related sudden cardiac arrest in young adults |
VerfasserIn: | Bohm, Philipp Meyer, Tim Narayanan, Kumar Schindler, Matthias Weizman, Orianne Beganton, Frankie Schmied, Christian Bougouin, Wulfran Barra, Sergio Dumas, Florence Varenne, Olivier Cariou, Alain Karam, Nicole Jouven, Xavier Marijon, Eloi |
Sprache: | Englisch |
Titel: | Europace |
Verlag/Plattform: | Oxford University Press |
Erscheinungsjahr: | 2022 |
Freie Schlagwörter: | Sports activity Young Cardiopulmonary resuscitation Defibrillation Autopsy Coronary artery disease |
DDC-Sachgruppe: | 610 Medizin, Gesundheit |
Dokumenttyp: | Journalartikel / Zeitschriftenartikel |
Abstract: | Aims Data on sports-related sudden cardiac arrest (SrSCA) among young adults in the general population are scarce. We aimed to determine the overall SrSCA incidence, characteristics, and outcomes in young adults. Methods and results Prospective cohort study of all cases of SrSCA between 2012 and 2019 in Germany and Paris area, France, involving subjects aged 18–35 years. Detection of SrSCA was achieved via multiple sources, including emergency medical services (EMS) reporting and web-based screening of media releases. Cases and aetiologies were centrally adjudicated. Overall, a total of 147 SrSCA (mean age 28.1 ± 4.8 years, 95.2% males) occurred, with an overall burden of 4.77 [95% confidence interval (CI) 2.85–6.68] cases per million-year, including 12 (8.2%) cases in young competitive athletes. While bystander cardiopulmonary resuscitation (CPR) was initiated in 114 (82.6%), automated external defibrillator (AED) use by bystanders occurred only in a minority (7.5%). Public AED use prior to EMS arrival (odds ratio 6.25, 95% CI 1.48–43.20, P = 0.02) was the strongest independent predictor of survival at hospital discharge (38.1%). Among cases that benefited from both immediate bystander CPR and AED use, survival rate was 90.9%. Coronary artery disease was the most frequent aetiology (25.8%), mainly through acute coronary syndrome (86.9%). Conclusion Sports-related sudden cardiac arrest in the young occurs mainly in recreational male sports participants. Public AED use remains disappointingly low, although survival may reach 90% among those who benefit from both bystander CPR and early defibrillation. Coronary artery disease is the most prevalent cause of SrSCA in young adults. |
DOI der Erstveröffentlichung: | 10.1093/europace/euac172 |
URL der Erstveröffentlichung: | http://dx.doi.org/10.1093/europace/euac172 |
Link zu diesem Datensatz: | urn:nbn:de:bsz:291--ds-383371 hdl:20.500.11880/34596 http://dx.doi.org/10.22028/D291-38337 |
ISSN: | 1532-2092 1099-5129 |
Datum des Eintrags: | 1-Dez-2022 |
Bezeichnung des in Beziehung stehenden Objekts: | Supplementary data |
In Beziehung stehendes Objekt: | https://oup.silverchair-cdn.com/oup/backfile/Content_public/Journal/europace/PAP/10.1093_europace_euac172/1/euac172_supplementary_data.zip?Expires=1672917271&Signature=eukQgx1OZL9cNKU2Kw1~86-pb78UOflejkPf9ZuxS0aCoSgWHhAbwMMNQchpEORFLlTS-BhPORkXc-YzQCU3SBx~NsOFp5RG6wwEsE1fnv3sxszupwQ4POPCC4DQDc4ibbkrX8V0VfpJt38CWlKrAa1wfVjsUegrfQUM21n26nT51nC~rxE3AUnT2zO5AQEzN53DK5oCdh3yK0xHs44MIfeG32R6xgTA0vOOfoBxSfrijVpgCnvUgYpHojPgQFog2i2HAWm-y3agQf1ggcWFqjl7YytgorjE4p1oOVZzf6DWCHf~lc8KUjCQHegUN50VIsSjLSxwK8bMciIBn~xhRg__&Key-Pair-Id=APKAIE5G5CRDK6RD3PGA |
Fakultät: | M - Medizinische Fakultät |
Fachrichtung: | M - Sport- und Präventivmedizin |
Professur: | M - Prof. Dr. Tim Meyer |
Sammlung: | SciDok - Der Wissenschaftsserver der Universität des Saarlandes |
Dateien zu diesem Datensatz:
Datei | Beschreibung | Größe | Format | |
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euac172.pdf | 699,73 kB | Adobe PDF | Öffnen/Anzeigen |
Diese Ressource wurde unter folgender Copyright-Bestimmung veröffentlicht: Lizenz von Creative Commons