Drory Y, Kramer M R, Lev B
Israel Defence Forces, Medical Corps, Tel Aviv.
Med Sci Sports Exerc. 1991 Feb;23(2):147-51.
To address the problem of a significant rise in the incidence of exertional sudden death worldwide, the medical records and necropsy reports of all deaths that occurred in the Israel Defence Forces (IDF) during 1974-1986 were scrutinized. Twenty male soldiers, aged 18-29 yr, died suddenly and unexpectedly within 24 h of strenuous exercise. Necropsy results, available for 90% of the subjects, included underlying cardiac disease in 50% and noncardiac causes of death in 33.3%; the cause of death was unidentifiable in 16.7% of the subjects. Prodromal symptoms in 70% of the subjects are presented as a main focus of this investigation. The most frequently reported symptom was exertional or nonexertional syncope in 40% of the subjects. Chest pain, acute gastrointestinal symptoms, or febrile disease were reported in 30% of the cases. The findings of this research suggest that syncope is a major antecedent symptom of exertional sudden death. An attack of syncope in young conditioned individuals should be followed by thorough medical surveillance, and strenuous exercise should be avoided until this procedure is completed. Sports and military officials have the obligation to promote awareness that strenuous exercise should not be performed in the presence of acute gastrointestinal symptoms or febrile illness.
为解决全球范围内运动性猝死发生率显著上升的问题，对1974年至1986年期间以色列国防军（IDF）发生的所有死亡病例的医疗记录和尸检报告进行了仔细审查。20名年龄在18至29岁的男性士兵在剧烈运动后24小时内突然意外死亡。90%的受试者有尸检结果，其中50%有潜在心脏病，33.3%为非心脏性死亡原因；16.7%的受试者死因不明。本研究主要关注70%受试者的前驱症状。最常报告的症状是40%的受试者出现运动性或非运动性晕厥。30%的病例报告有胸痛、急性胃肠道症状或发热性疾病。本研究结果表明，晕厥是运动性猝死的主要前驱症状。年轻健康个体发生晕厥发作后，应进行全面的医学监测，在完成此程序之前应避免剧烈运动。体育和军事官员有义务提高人们的认识，即出现急性胃肠道症状或发热性疾病时不应进行剧烈运动。
