Department of Forensic Medicine, Erciyes University Medical Faculty , Kayseri, Turkey.
J Sports Sci Med. 2008 Jun 1;7(2):292-8. eCollection 2008.
Regular physical exercise is recommended by the medical community, because it offers the potential to reduce the incidence of coronary events. On the other hand, vigorous exertion may act as a trigger of acute myocardial infarction and sudden cardiac death in susceptible individuals. Death during sports activities differs among sports disciplines and countries. In Turkey, soccer attracts more spectators than any other sports activity and the attention of the press and media, and is preferred over other sports by many young and middle-aged individuals. As autopsy-based studies are infrequent in literature and there is a lack of data detailing sudden death during physical activity in Turkey, we present a Turkish series of sudden deaths that occurred during soccer games based on data provided by the Morgue Specialization Department of the Council of Forensic Medicine. We identified 15 male cases of soccer-related sudden death aged from 10 to 48 years. Coronary artery disease was identified as the cause of sudden death in 11 cases. Key pointsThis study is one of the largest series of soccer related SD with reported 15 cases.In our series, CAD is the most common cause of SCD also in very young athletes in contrast with international literature.In autopsy, detailed cardio-vascular system evaluation and toxicological analysis including doping agents are essential to determine precise cause of exercise induced SD.Medical screening is important for all people interested in sport, not only for athletes, as a powerful means of prevention.
医学专家建议定期进行体育锻炼，因为它有可能降低冠心病事件的发生率。另一方面，剧烈运动可能会成为易感个体急性心肌梗死和心源性猝死的诱因。在不同的运动项目和国家中，运动相关的死亡情况存在差异。在土耳其，足球比任何其他运动项目都吸引了更多的观众和媒体的关注，许多年轻人和中年人更喜欢足球。由于尸检研究在文献中较为罕见，而且土耳其关于运动中突发死亡的详细数据也缺乏，因此我们根据法医鉴定处停尸房分部提供的数据，展示了一系列土耳其足球比赛中发生的突发死亡案例。我们共确定了 15 名年龄在 10 至 48 岁之间的与足球相关的男性突发死亡案例。有 11 例确定为冠心病导致的突发死亡。关键点本研究是报告的 15 例足球相关 SD 中最大的系列之一。在我们的研究中，与国际文献相比，CAD 也是导致非常年轻运动员心源性猝死的最常见原因。在尸检中，详细的心血管系统评估和毒理学分析，包括兴奋剂检测，对于确定运动引起的 SD 的确切原因至关重要。医疗筛查对于所有有兴趣参与运动的人都很重要，不仅是运动员，这是一种强大的预防手段。
