Sudden Cardiac Arrest During Sports Activity in Older Adults.
Sudden Cardiac Arrest During Sports Activity in Older Adults.
复制标题
老年人体育活动期间心脏骤停。
DOI：
10.1016/j.jacep.2022.10.033
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Chugh,SumeetS
中科院分区：
文献类型：
--
作者：
Holmstrom,Lauri;Chugh,HarpriyaS;Uy-Evanado,Audrey;Sargsyan,Arayik;Sorenson,Chad;Salmasi,Shiva;Norby,FayeL;Hurst,Sean;Young,Christopher;Salvucci,Angelo;Jui,Jonathan;Reinier,Kyndaron;Chugh,SumeetS
背景老年人的体育活动正在增加，但缺乏关于老年人运动相关心脏骤停（SrSCA）的社区数据。目的在这项研究中，作者调查了美国大量人口中≥65岁受试者中SrSCA的患病率和特征。方法前瞻性地确定了美国俄勒冈州波特兰都会区的所有院外心脏骤停（SCA） （2002-2017）和美国加利福尼亚州文图拉县（2015-2021）（流域人口约185万）。获得了 SCA 警告症状、情况和终生临床病史的详细信息。在体育活动停止期间或停止后 1 小时内发生 SCA 的受试者被归类为 SrSCA。结果在 65 岁以上受试者中的 4,078 名 SCA 中，77 名是 SrSCA（1.9%；91% 为男性）。波特兰 65 岁以上人群的年粗 SrSCA 发病率为 3.29/100,000，文图拉为 2.10/100,000。最常见的相关活动是骑自行车、健身活动和跑步。与非 SrSCA 病例相比，SrSCA 病例的心血管危险因素负担（P = 0.03）和合并症（P <0.005）较低。根据对参加体育活动的≥65岁社区居民的保守估计，波特兰和文图拉的SrSCA发生率分别为28.9/10万体育参与年和18.4/10万体育参与年。 SrSCA 的粗生存至出院率较高，但调整混杂因素后差异不显着。结论在年龄≥65 岁的自由居住社区居民中，SrSCA 并不常见，主要发生在男性中，并且与非 SrSCA 相比疾病负担较低。这些结果表明，SrSCA 的风险较低，并且可能被运动的高益处所抵消。
BackgroundSports activity among older adults is rising, but there is a lack of community-based data on sports-related sudden cardiac arrest (SrSCA) in the elderly.ObjectivesIn this study, the authors investigated the prevalence and characteristics of SrSCA among subjects ≥65 years of age in a large U.S. population.MethodsAll out-of-hospital sudden cardiac arrests (SCAs) were prospectively ascertained in the Portland, Oregon, USA, metro area (2002-2017), and Ventura County, California, USA (2015-2021) (catchment population ∼1.85 million). Detailed information was obtained for SCA warning symptoms, circumstances, and lifetime clinical history. Subjects with SCA during or within 1 hour of cessation of sports activity were categorized as SrSCA.ResultsOf 4,078 SCAs among subjects ≥65 years of age, 77 were SrSCA (1.9%; 91% men). The crude annual SrSCA incidence among age ≥65 years was 3.29/100,000 in Portland and 2.10/100,000 in Ventura. The most common associated activities were cycling, gym activity, and running. SrSCA cases had lower burden of cardiovascular risk factors(P =0.03) as well as comorbidities (P <0.005) compared with non-SrSCA. Based on conservative estimates of community residents ≥65 years of age who participate in sports activity, the SrSCA incidence was 28.9/100,000 sport participation years and 18.4/100,000 sport participation years in Portland and Ventura, respectively. Crude survival to hospital discharge rate was higher in SrSCA, but the difference was nonsignificant after adjustment for confounding factors.ConclusionsAmong free-living community residents age ≥65 years, SrSCA is uncommon, predominantly occurs in men, and is associated with lower disease burden than non-SrSCA. These results suggest that the risk of SrSCA is low, and probably outweighed by the high benefit of exercise.
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