Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program
Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program
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DOI：
10.1001/jama.296.13.1593
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发表时间：
2006-10-04
影响因子：
120.7
通讯作者：
Thiene, Gaetano
中科院分区：
文献类型：
--
作者：
Corrado, Domenico;Basso, Cristina;Thiene, Gaetano
背景意大利于1982年开始在全国范围内进行有系统的运动筛查。这样一个项目对预防运动员心血管猝死的影响仍有待确定.Objective分析年轻竞技运动员猝死的发病率和心血管原因的趋势与运动筛查的关系.设计，设置，A.人口-一项基于1979年至2010年期间意大利韦内托地区12 - 35岁运动和非运动人群心血管猝死趋势的研究。2004.一项平行研究调查了42386名在帕多瓦运动医学中心接受运动员资格筛查的运动员中，（早期筛查期[1982-1992年]为22 312例，晚期筛查期[1993-2004年]为20 074例）主要结果测量在26年的时间里，在相同年龄范围的筛选的运动员和未筛选的非运动员中总的心血管和原因特异性猝死的发生率趋势。在筛选的运动员中发生55例心血管猝死（1.9例死亡/10万人年），在未筛选的非运动员中发生265例猝死（0.79例死亡/10万人年）。运动员心血管性猝死的年发病率下降了89%（从1979 - 1980年的3.6/10万人年下降到2003-2004年的0.4/10万人年; P为趋势
Context A nationwide systematic preparticipation athletic screening was introduced in Italy in 1982. The impact of such a program on prevention of sudden cardiovascular death in the athlete remains to be determined.Objective To analyze trends in incidence rates and cardiovascular causes of sudden death in young competitive athletes in relation to preparticipation screening.Design, Setting, and Participants A population-based study of trends in sudden cardiovascular death in athletic and nonathletic populations aged 12 to 35 years in the Veneto region of Italy between 1979 and 2004. A parallel study examined trends in cardiovascular causes of disqualification from competitive sports in 42 386 athletes undergoing preparticipation screening at the Center for Sports Medicine in Padua ( 22 312 in the early screening period [1982-1992] and 20 074 in the late screening period [1993-2004]).Main Outcome Measures Incidence trends of total cardiovascular and cause-specific sudden death in screened athletes and unscreened nonathletes of the same age range over a 26-year period.Results During the study period, 55 sudden cardiovascular deaths occurred in screened athletes (1.9 deaths/100 000 person-years) and 265 sudden deaths in unscreened nonathletes (0.79 deaths/100 000 person-years). The annual incidence of sudden cardiovascular death in athletes decreased by 89% ( from 3.6/100 000 person-years in 19791980 to 0.4/100 000 person-years in 2003-2004; P for trend