Parzeller M, Raschka C, Bratzke H
Johann-Wolfgang-Goethe-Universität Institut für Sportwissenschaften Abt. für Sportmedizin, Frankfurt/M.
Z Kardiol. 1999 Jan;88(1):44-8. doi: 10.1007/s003920050262.
This epidemiologic, retrospective follow-up mortality study is based on the data gathered in the department of forensic medicine at the University Hospital of Johann Wolfgang Goethe University in Frankfurt/Main. Over a period of 21 years (1972-1992), roughly 21,000 forensic autopsies revealed 39 cases (0.19%) of natural deaths occurring during sexual activity. Except for two women, all of these cases were men of an average age of 61.3 years. The most frequent cause of death was myocardial infarction (n = 21/53.8%), three of these cases involving pericardial tamponade accompanied by myomalacia. The medical history of twelve of the deceased showed a previous myocardial infarction. Most of the deaths took place during or after sexual intercourse or manual stimulation. In most cases sudden death occurred during the sexual act with a prostitute. The annual incidence of sudden cardiovascular deaths during sexual activity is estimated to be 0.2/100,000 men. The risk for women is lower by a factor of 12.
这项流行病学回顾性随访死亡率研究基于法兰克福/美因河畔约翰·沃尔夫冈·歌德大学医院法医学系收集的数据。在21年期间（1972 - 1992年），约21,000例法医尸检显示，有39例（0.19%）自然死亡发生在性行为期间。除两名女性外，所有这些病例均为男性，平均年龄为61.3岁。最常见的死亡原因是心肌梗死（n = 21/53.8%），其中3例伴有心肌软化的心包填塞。12名死者的病史显示曾有过心肌梗死。大多数死亡发生在性交期间或之后或手淫时。在大多数情况下，猝死发生在与妓女发生性行为时。性行为期间突发性心血管死亡的年发病率估计为每10万名男性中有0.2例。女性的风险低12倍。
