Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/32962
Title: Sudden cardiac death related to physical exercise in the young: a nationwide cohort study of Australia.
Austin Authors: Ha, Francis J;Han, Hui-Chen ;Sanders, Prashanthan;La Gerche, Andre;Teh, Andrew W ;Farouque, Omar ;Lim, Han S 
Affiliation: Cardiology
University of Melbourne, Melbourne, Victoria, Australia
Centre for Heart Rhythm Disorders, South Australia Health and Medical Research Institute, University of Adelaide and Royal Adelaide Hospital, Adelaide, South Australia, Australia.
St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia
Baker Heart and Diabetes Institute, Melbourne, Australia.
Department of Cardiology, Northern Health, Melbourne, Victoria, Australia.
St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.
Issue Date: Apr-2023
Date: 2022
Publication information: Internal Medicine Journal 2023
Abstract: Sudden cardiac death (SCD) during physical exercise is devastating. To evaluate causes and circumstances of exercise-related SCD in the young in Australia. We reviewed the National Coronial Information System database for deaths in Australia relating to cardiovascular disease in cases aged 10-35 years between 2000 and 2016. Cases who had undertaken physical exercise at the time of the event were included. We collected demographics, circumstances of death, type of physical exercise, bystander cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) use prior to ambulance arrival. Over a 17-year period, 1925 SCD cases were identified, of which 110 (6%) cases (median age 27 years (interquartile range 21-32 years); 92% male) were related to sports/physical exercise. Thirteen (12%) cases occurred in active athletes. Most common causes were coronary artery disease (CAD; 37%) and sudden arrhythmic death syndrome (SADS; 20%). Among Aboriginal and Torres Strait Islanders (n = 10), all deaths were related to CAD. Australian Rules Football (24%), running/jogging (14%) and soccer (14%) were the most frequent physical exercise activities. Prior symptoms were present in 39% (chest pain 37%, pre-syncope/syncope 26%). Most (87%) were witnessed, with bystander CPR in 70%. AED use prior to ambulance arrival was 8%. The present study demonstrates the high occurrence of CAD and SADS in SCD in the young related to physical exercise. Aboriginal and Torres Strait Islanders were disproportionately affected by CAD. Although events were commonly witnessed, AED was seldom used prior to ambulance arrival and highlights an important opportunity to improve outcomes in the post-arrest chain of survival.
URI: https://ahro.austin.org.au/austinjspui/handle/1/32962
DOI: 10.1111/imj.15606
ORCID: 0000-0003-3206-5725
Journal: Internal Medicine Journal
Start page: 497
End page: 502
PubMed URL: 34719841
ISSN: 1445-5994
Type: Journal Article
Subjects: automated external defibrillator
cardiopulmonary resuscitation
physical exercise
sports
sudden cardiac death
Australia/epidemiology
Death, Sudden, Cardiac/epidemiology
Death, Sudden, Cardiac/prevention & control
Syncope/complications
Appears in Collections:Journal articles

Show full item record

Page view(s)

32
checked on Oct 5, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.