Allouche M, Boudriga N, Ahmed H Ben, Banasr A, Shimi M, Gloulou F, Zhioua M, Bouhajja B, Baccar H, Hamdoun M
Service de médecine légale, faculté de médecine de Tunis, université Tunis El Manar, hôpital Charles Nicolle de Tunis, 1006 Tunis, Tunisie.
Ann Cardiol Angeiol (Paris). 2013 Apr;62(2):82-8. doi: 10.1016/j.ancard.2012.08.030. Epub 2012 Aug 29.
To develop profile of the victims and to study circumstances, causes of death and autopsy findings.
Retrospective study of cases of sudden death in sport activity whose autopsy was performed in forensic department of Tunis, between January 2005 and December 2009.
During study period, 32 cases of SD in sport activity were recorded. These are amateur athletes predominantly male (84% of cases). Victims are aged between 15 and 79 years with an average age of about 33.16 years. Young subjects whose age is less than 35 years representing 68.7% of cases. 9.3% of victims had a family history of SD and 18.7% of cases had a known cardiac history. The sports most involved are running (40.6% of cases), football (31.3% of cases) and dance (12.5% of cases). Sixty-nine percent of victims died during sports activities. Presence of witnesses was noted in all cases; however, none of these witnesses has begun resuscitation. Cause of death was cardiac in 84.4% of cases. In young athletes, hypertrophic cardiomyopathy is the leading cause (nine cases), followed by arrhythmogenic right ventricular dysplasia (three cases). Among other causes, there is the myocardial bridge, congenital anomalies of the coronary arteries, aortic dissection and dilated cardiomyopathy. Beyond 35 years, coronary artery diseases represent the cause of death (nine cases). Only case of death secondary to non-cardiac disease occurred after a severe asthma attack. In four cases (12.5%), no cause of death was identified after a complete autopsy accompanied by further investigations. The cause of the death was imputed to a rhythmic pathology.
This is the first study dealing with autopsy in SD in sport have provided a specific profile of victims. Other studies on larger samples and using standardized autopsy protocols are needed.
明确受害者特征，研究死亡情况、死因及尸检结果。
对2005年1月至2009年12月期间在突尼斯法医部门进行尸检的体育活动猝死病例进行回顾性研究。
研究期间，记录了32例体育活动猝死病例。这些病例主要为男性业余运动员（占病例的84%）。受害者年龄在15至79岁之间，平均年龄约为33.16岁。年龄小于35岁的年轻受试者占病例的68.7%。9.3%的受害者有猝死家族史，18.7%的病例有已知心脏病史。涉及最多的运动项目是跑步（占病例的40.6%）、足球（占病例的31.3%）和舞蹈（占病例的12.5%）。69%的受害者在体育活动期间死亡。所有病例均有目击者；然而，这些目击者均未进行心肺复苏。84.4%的病例死因是心脏相关。在年轻运动员中，肥厚型心肌病是主要死因（9例），其次是致心律失常性右室发育不良（3例）。其他原因包括心肌桥、冠状动脉先天性异常、主动脉夹层和扩张型心肌病。35岁以上，冠状动脉疾病是死因（9例）。仅1例非心脏疾病继发死亡发生在严重哮喘发作后。4例（12.5%）在进行全面尸检并进一步检查后未确定死因。死亡原因归因于节律性病变。
这是第一项关于体育活动猝死尸检的研究，提供了受害者的具体特征。需要进行其他更大样本且使用标准化尸检方案的研究。
