Northcote R J, Flannigan C, Ballantyne D
Br Heart J. 1986 Feb;55(2):198-203. doi: 10.1136/hrt.55.2.198.
The circumstances surrounding 60 sudden deaths (59 men, one woman) associated with squash playing are described. The mean age (SD) of those who died was 46 (10.3) years (range 22-66 years). Necropsy reports were available in 51. The certified cause of death was coronary artery disease in 51 cases, valvar heart disease in four, cardiac arrhythmia in two cases, and hypertrophic cardiomyopathy in one case. There were only two deaths from non-cardiac causes. Forty five of those who died had reported prodromal symptoms, the most common of which was chest pain, and 22 were known to have had at least one medical condition related to the cardiovascular system during life, the most common of which was systemic hypertension (14 subjects). Those dying from coronary artery disease had a high frequency of risk factors. Some of these deaths might have been prevented by appropriate counselling of players after prospective medical screening, which would have detected most of the patients with overt cardiovascular disease and some of those with subclinical coronary artery disease.
本文描述了与壁球运动相关的60例猝死事件（59名男性，1名女性）的相关情况。死亡者的平均年龄（标准差）为46（10.3）岁（年龄范围22 - 66岁）。51例有尸检报告。经认证的死因中，51例为冠状动脉疾病，4例为瓣膜性心脏病，2例为心律失常，1例为肥厚型心肌病。仅2例死于非心脏原因。45名死亡者曾报告前驱症状，最常见的是胸痛，22名已知生前至少有一种与心血管系统相关的疾病，最常见的是系统性高血压（14名受试者）。死于冠状动脉疾病的人有很高的危险因素发生率。通过对运动员进行前瞻性医学筛查后给予适当的咨询，可能会预防其中一些死亡，因为这种筛查能发现大多数患有明显心血管疾病的患者以及一些患有亚临床冠状动脉疾病的患者。
