Document Detail

Risk factors for exercise-related acute cardiac events. A case-control study.
MedLine Citation:
PMID:  19734508     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: In spite of the benefits of physical activity, exercise may provoke acute cardiac events in susceptible individuals. Understanding risk factors of exercise-related acute cardiac events may identify opportunities for prevention. METHODS: A case-control study was conducted to examine determinants of acute cardiac events in athletes. The cases were athletes who suffered an acute cardiac event during or shortly after vigorous exercise. Athletes who visited a hospital because of a minor sports injury were selected as controls. Information on cardiovascular disease, family history of cardiovascular disease, cardiovascular symptoms and other potential risk factors was collected through questionnaires. RESULTS: 57 cases (mean age 41.8 years, range 11-73) and 57 controls (mean age 40.9 years, range 13-68) were included in the study. Athletes with a history of cardiovascular disease were at a markedly increased risk for cardiac events during exercise (OR = 32; 95% CI 7.4 to 143). Smoking (OR 5.9; 95% CI 1.9 to 18), fatigue (OR = 12; 95% CI 1.2 to 118) and flu-like symptoms (OR 13; 95% CI 1.4 to 131) in the month preceding the event were related to acute cardiac events in athletes. CONCLUSIONS: Prior cardiovascular disease, smoking, and a recent episode of fatigue or flu-like symptoms are associated with an increased risk of exercise-related acute cardiac events. Athletes and physicians should pay careful attention when these factors exist or occur.
W M van Teeffelen; M F de Beus; A Mosterd; M L Bots; W L Mosterd; J Pool; P A Doevendans; D E Grobbee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of sports medicine     Volume:  43     ISSN:  1473-0480     ISO Abbreviation:  Br J Sports Med     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-09-07     Completed Date:  2009-12-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0432520     Medline TA:  Br J Sports Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  722-5     Citation Subset:  IM    
Department of Sports Medicine, Canisius Welhelmina Ziekenhuis, Nijmegen, The Netherlands.
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MeSH Terms
Cardiovascular Diseases / complications*
Case-Control Studies
Death, Sudden, Cardiac / etiology,  prevention & control*
Health Knowledge, Attitudes, Practice
Middle Aged
Risk Factors
Smoking / adverse effects
Young Adult

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