Elrobaa Islam H, Elmaasarawi Ahmed
College of Medicine, Qatar University, Doha, QAT.
Emergency Medicine, Hamad Medical Corporation, Doha, QAT.
Cureus. 2023 Aug 4;15(8):e42936. doi: 10.7759/cureus.42936. eCollection 2023 Aug.
Athletes are a group of people who have good activity, regular muscular exercise, an almost standard lifestyle, and should be in good condition with low rates of medical, particularly cardiovascular, complications. However, cardiac attacks, sudden cardiac deaths, and fatal arrhythmogenic syndromes have been reported in athletes with low incidences. We can determine external and internal factors that lead to cardiac attacks in athletes. The former include abnormal cardiac structures and genetics, while the latter include environmental conditions like extreme temperatures, smoking, and drug abuse. Here, we report a case of a cardiac attack with non-ST elevation myocardial infarction (NSTEMI) in a young athlete who was a non-smoker, did not have any abnormal heart structures or a history of drug abuse, and did not have a family history of cardiac disease or arrest. High humidity levels and temperatures were the main causes of the cardiac attack, which occurred during a sports exercise at high temperatures with high humidity levels. We hope to prevent the recurrence of such a case. We need to understand when and where sports exercises can be performed without the risk of medical complications.
运动员是一群活动量良好、有规律地进行肌肉锻炼、生活方式近乎标准且理应健康状况良好、医学并发症发生率较低（尤其是心血管并发症）的人群。然而，已有报道称运动员中存在低发生率的心脏病发作、心源性猝死和致命性心律失常综合征。我们可以确定导致运动员心脏病发作的外部和内部因素。前者包括心脏结构异常和遗传因素，而后者包括极端温度、吸烟和药物滥用等环境因素。在此，我们报告一例年轻运动员发生非ST段抬高型心肌梗死（NSTEMI）心脏病发作的病例，该运动员不吸烟，没有任何心脏结构异常或药物滥用史，也没有心脏病或心脏骤停的家族史。高湿度和高温是此次心脏病发作的主要原因，发作发生在高温高湿环境下的体育锻炼过程中。我们希望预防此类病例的再次发生。我们需要了解何时何地进行体育锻炼可以避免发生医学并发症的风险。
