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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

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