Sports-Related Sudden Cardiac Arrest in Canada: Incidence and Survival

IF 5.8 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Canadian Journal of Cardiology Pub Date : 2025-03-01 DOI:10.1016/j.cjca.2024.11.017

Mika’il Visanji BHSc , Katherine S. Allan MASc, PhD , Manya Charette MSc , Brian Grunau MD, MHSc , Carla Roy BAHSc, ACP , Judah Goldstein PhD , Thérésa Choisi MSc , Luc de Montigny PhD , Steve Lin MD, MSc , Jessyca Brissaw MD , Lindsey Cameron-Dermann MSc , Madison Donoghue BHSc , Morgan Haines MD , Jacob Hutton BA , Armin Nowroozpoor MD , Paul Olszynski MD, MEd , Ryan Quinn MD , Christian Vaillancourt MD, MSc , Alix Carter MD, MPH , Khadija Abawajy BSc , Paul Dorian MD, MSc

{"title":"Sports-Related Sudden Cardiac Arrest in Canada: Incidence and Survival","authors":"Mika’il Visanji BHSc , Katherine S. Allan MASc, PhD , Manya Charette MSc , Brian Grunau MD, MHSc , Carla Roy BAHSc, ACP , Judah Goldstein PhD , Thérésa Choisi MSc , Luc de Montigny PhD , Steve Lin MD, MSc , Jessyca Brissaw MD , Lindsey Cameron-Dermann MSc , Madison Donoghue BHSc , Morgan Haines MD , Jacob Hutton BA , Armin Nowroozpoor MD , Paul Olszynski MD, MEd , Ryan Quinn MD , Christian Vaillancourt MD, MSc , Alix Carter MD, MPH , Khadija Abawajy BSc , Paul Dorian MD, MSc","doi":"10.1016/j.cjca.2024.11.017","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Sports-related (Sr-) sudden cardiac arrest (SCA) is widely recognized in young competitive athletes, yet occurs more frequently in middle-aged, recreational athletes. Our objective was to describe the epidemiology and characteristics of Sr-SCA in 5 Canadian Provinces (population: 10.9 million).</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study using emergency medical services records from consecutive out of hospital SCAs, for patients aged 18-85 years, who were treated, and whose SCA was from a presumed cardiac cause, during or ≤ 1 hour after sports activity.</div></div><div><h3>Results</h3><div>A total of 18,769 SCAs occurred between January 1, 2016 and December 31, 2020, of which 339 (1.8%) were sport-related. Most patients were male (93.8%; 318/339), with an average age of 58.1 ± 14.3 years old. The incidence of Sr-SCA was 1.2 per 100,000 person-years (95% confidence interval [CI], 1.1-1.4). Men had an almost 16-fold greater incidence than women (2.3 [95% CI, 2.1-2.6] vs 0.2 [95% CI, 0.1-0.2] per 100,000 person-years). Sr-SCAs occurred during 52 unique sports. Almost two-thirds occurred in recreational facilities (60.2%; 204/339), with high rates of bystander witnessed (75.6%; 256/339) and bystander cardiopulmonary resuscitation (73.6%; 248/337). Bystanders delivered automated external defibrillator shocks in 121 of 335 (36.1%) cases. Median emergency medical services response time was 6.2 (interquartile range, 4.8-8.9) minutes, with an initial shockable rhythm reported in 76.9% (249/324). More than half of those with known final vital status (52.0%; 167/321) survived to hospital discharge, which varied on the basis of sport.</div></div><div><h3>Conclusions</h3><div>Sr-SCA occurs infrequently, attracts high rates of bystander intervention, and has high survivability.</div></div>","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":"41 3","pages":"Pages 522-530"},"PeriodicalIF":5.8000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian Journal of Cardiology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0828282X24011450","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Sports-related (Sr-) sudden cardiac arrest (SCA) is widely recognized in young competitive athletes, yet occurs more frequently in middle-aged, recreational athletes. Our objective was to describe the epidemiology and characteristics of Sr-SCA in 5 Canadian Provinces (population: 10.9 million).

Methods

We conducted a retrospective cohort study using emergency medical services records from consecutive out of hospital SCAs, for patients aged 18-85 years, who were treated, and whose SCA was from a presumed cardiac cause, during or ≤ 1 hour after sports activity.

Results

A total of 18,769 SCAs occurred between January 1, 2016 and December 31, 2020, of which 339 (1.8%) were sport-related. Most patients were male (93.8%; 318/339), with an average age of 58.1 ± 14.3 years old. The incidence of Sr-SCA was 1.2 per 100,000 person-years (95% confidence interval [CI], 1.1-1.4). Men had an almost 16-fold greater incidence than women (2.3 [95% CI, 2.1-2.6] vs 0.2 [95% CI, 0.1-0.2] per 100,000 person-years). Sr-SCAs occurred during 52 unique sports. Almost two-thirds occurred in recreational facilities (60.2%; 204/339), with high rates of bystander witnessed (75.6%; 256/339) and bystander cardiopulmonary resuscitation (73.6%; 248/337). Bystanders delivered automated external defibrillator shocks in 121 of 335 (36.1%) cases. Median emergency medical services response time was 6.2 (interquartile range, 4.8-8.9) minutes, with an initial shockable rhythm reported in 76.9% (249/324). More than half of those with known final vital status (52.0%; 167/321) survived to hospital discharge, which varied on the basis of sport.

Conclusions

Sr-SCA occurs infrequently, attracts high rates of bystander intervention, and has high survivability.

查看原文本刊更多论文

加拿大运动相关的心脏骤停：发病率和生存率。

背景：运动相关（Sr-）心脏骤停（SCA）在年轻竞技运动员中被广泛认识，但在中年休闲运动员中更常见。我们的目的是描述加拿大5个省（人口：1090万）Sr-SCA的流行病学和特征。方法：我们进行了一项回顾性队列研究，使用了连续院外SCA的急诊医疗服务记录，这些患者年龄在18-85岁，在运动期间或运动后≤1小时内接受了治疗，SCA是由假定的心脏原因引起的。结果：2016年1月1日至2020年12月31日期间共发生18769例sca，其中339例（1.8%）与运动相关。男性居多（93.8%）；318/339)，平均年龄58.1±14.3岁。Sr-SCA的发病率为每10万人年1.2例（95%可信区间[CI]， 1.1-1.4）。男性的发病率几乎是女性的16倍（2.3 [95% CI, 2.1-2.6] vs 0.2 [95% CI, 0.1-0.2] / 100000人年）。sr - sca发生在52项独特的运动中。几乎三分之二发生在娱乐设施(60.2%；204/339)，旁观者目击率高(75.6%；256/339)和旁观者心肺复苏(73.6%；248/337)。335例中有121例（36.1%）由旁观者实施自动体外除颤器电击。紧急医疗服务反应时间中位数为6.2分钟（四分位数范围4.8-8.9），76.9%（249/324）报告了最初的休克节律。超过一半知道最后生命状况的人(52.0%；167/321)存活至出院，具体时间因运动而异。结论：Sr-SCA发生率低，旁观者干预率高，生存率高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Canadian Journal of Cardiology 医学-心血管系统

CiteScore

9.20

自引率

8.10%

发文量

546

审稿时长

32 days

期刊介绍： The Canadian Journal of Cardiology (CJC) is the official journal of the Canadian Cardiovascular Society (CCS). The CJC is a vehicle for the international dissemination of new knowledge in cardiology and cardiovascular science, particularly serving as the major venue for Canadian cardiovascular medicine.