| An eight year review of exercise-related cardiac arrests. | |
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MedLine Citation:
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PMID: 20697672 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Exercise-related cardiac arrest is uncommon, however it is devastating when it occurs in otherwise healthy adults. This study aims to identify the characteristics of exercise-related cardiac arrest in the study population and estimate the overall survival rate. MATERIALS AND METHODS: This is a retrospective observational study of exercise-related cardiac arrest in Singapore. Patients with exercise-related out of hospital cardiac arrest (OHCA) were selected from the Cardiac Arrest and Resuscitation Epidemiology (CARE) database, which is a prospective cardiac arrest registry, derived from ambulance records, emergency department and hospital discharge records. Patient characteristics, cardiac arrest circumstances and outcomes were studied. RESULTS: Fifty-fi ve cases of exercise-related cardiac arrests were identified from December 2001 to January 2008. Mean age was 50.9 years with a male predominance of 96.4%. Eighty percent of the exercise-related cardiac arrests were witnessed, however only 58.2% of the patients received bystander cardiopulmonary resuscitation (CPR). The fi rst presenting rhythm was ventricular fibrillation (VF) in 40% of the patients, followed by asystole (38.2%). Of 96.2% of the patients who died from cardiac causes, coronary artery disease was the main etiology for 54%. The 30-day survival rate was 5.5%. CONCLUSION: We found that exercise-related cardiac arrest causes significant mortality in our community. Increased CPR training among the public, easy access to defibrillators and faster emergency medical service (EMS) response time could improve the outcome of exercise-related cardiac arrests. A comprehensive pre-participation screening for competitive exercises should be outlined for primary prevention of exercise-related cardiac arrest. A better reporting system for exercise-related cardiac arrest is needed. |
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Authors:
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Si Oon Cheah; Marcus E H Ong; Matthew B F Chuah |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of the Academy of Medicine, Singapore Volume: 39 ISSN: 0304-4602 ISO Abbreviation: Ann. Acad. Med. Singap. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-08-10 Completed Date: 2010-12-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503289 Medline TA: Ann Acad Med Singapore Country: Singapore |
Other Details:
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Languages: eng Pagination: 542-6 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, Singapore General Hospital, Singapore. cheah.si.oon@singhealth.com.sg |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Age Factors Aged Cardiopulmonary Resuscitation / utilization Exercise* Female Humans Incidence Male Middle Aged Out-of-Hospital Cardiac Arrest / epidemiology* Retrospective Studies Singapore / epidemiology Young Adult |
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