Phillips M, Robinowitz M, Higgins J R, Boran K J, Reed T, Virmani R
JAMA. 1986 Nov 21;256(19):2696-9.
We reviewed the clinical and autopsy records of the 19 sudden cardiac deaths that occurred among the 1,606,167 US Air Force healthy, medically screened recruits (90% male; 17 to 28 years old) during a 42-day basic training period between 1965 and 1985. Sixteen (all male) died suddenly of underlying structural heart disease, whereas no anatomic cause of death was identified in the remaining three. Thirty-two nonsudden, noncardiac deaths occurred during the same period, and only two had structural heart disease. Strenuous physical exertion was associated with sudden death in 17 of 19 cases (0.017 deaths per 50,000 exercise-hours), and the most frequent underlying etiology was myocarditis. Sudden cardiac death, a rare event in healthy young adults, is usually associated with exertion.
我们回顾了1965年至1985年期间，在美国空军1,606,167名经过医学筛查的健康新兵（90%为男性，年龄在17至28岁之间）的42天基础训练期内发生的19例心源性猝死的临床和尸检记录。16例（均为男性）死于潜在的结构性心脏病，而其余3例未发现解剖学死因。同期发生了32例非心源性非猝死死亡，其中只有2例患有结构性心脏病。19例中有17例（每50,000运动小时0.017例死亡）的心源性猝死与剧烈体力活动有关，最常见的潜在病因是心肌炎。心源性猝死在健康年轻人中是罕见事件，通常与体力活动有关。
