Duraković Zijad, Duraković Marjeta Misigoj, Skavić Josip
Institute for Anthropological Research, Department of Medical Anthropology and Epidemiology, Zagreb, Croatia.
Coll Antropol. 2011 Dec;35(4):1051-4.
The paper deals with the sudden cardiac death during physical exercise in males in Croatia. The data are a part of a retrospective study dealing with 69 sudden death due to physical activity in men in Croatia during 27 years: from January 1, 1984 to December 31, 2010. Three of them suddenly died during training and two of them died during recreational physical exercise, probably because of malignant ventricular arrhythmia due to hyperthrophic cardiomyopathy. One had an obstructive form of hypertrophic cardiomyopathy with i.v. septum of 40 mm and four had a non-obstructive forms of hyperthrophic cardiomyopathy with left ventricular wall of 18-20-22-25 mm. First athlete was a short trails runner, aged 24, with no any previous physical discomforts, who suddenly collapsed and died during training. The second athlete was a soccer player aged 18, with no any previous physical discomfort, who suddenly collapsed and died during training. The third aged 15, was a school boy, basketball player, with no any previous physical discomfort, who collapsed and died during training. Two aged 25 and 34, were with no physical discomfort during exercise and died suddenly during recreational soccer games. A sudden cardiac death due to physical exercise in young athletes in Croatia suffered of hyperthropic cardiomyopathy reached 0.06/100 000 yearly (p = 0.00000) in 27 years, in teenagers 0.26/100 000 (p = 0.00226), in teenagers suffered of hypertrophic cardiomyopathy reached 0.10/100 000 (p = 0.00000), in all young athletes suffered of other heart diseases reached 0.19/100 000 (p = 0.00005), and in the total male population aged 15 or more, engaged in sports and recreational physical exercise: 0.71/100.0000 (p = 0.00001).
该论文探讨了克罗地亚男性在体育锻炼过程中的心脏性猝死情况。这些数据是一项回顾性研究的一部分，该研究涉及克罗地亚27年间（从1984年1月1日至2010年12月31日）69例男性因体育活动导致的猝死。其中3例在训练期间突然死亡，2例在娱乐性体育锻炼时死亡，可能是由于肥厚型心肌病引发的恶性室性心律失常。1例患有梗阻性肥厚型心肌病，室间隔厚度为40毫米，4例患有非梗阻性肥厚型心肌病，左心室壁厚度分别为18 - 20 - 22 - 25毫米。第一名运动员是一名24岁的短跑运动员，此前无任何身体不适，在训练期间突然倒地死亡。第二名运动员是一名18岁的足球运动员，此前无任何身体不适，在训练期间突然倒地死亡。第三名15岁，是一名在校男生、篮球运动员，此前无任何身体不适，在训练期间倒地死亡。另外两名分别为25岁和34岁，在运动时无身体不适，在足球娱乐比赛期间突然死亡。克罗地亚年轻运动员因肥厚型心肌病在体育锻炼时发生心脏性猝死的年发生率在27年中为0.06/10万（p = 0.00000），青少年为0.26/10万（p = 0.00226），患有肥厚型心肌病的青少年为0.10/10万（p = 0.00000），所有患有其他心脏病的年轻运动员为0.19/10万（p = 0.00005），在15岁及以上从事体育和娱乐性体育锻炼的男性总人口中为0.71/10万（p = 0.00001）。
