Izvorni znanstveni članak
Unexpected Sudden Death Due to Recreational Swimming and Diving in Men in Croatia in a 14-Year Period
Zijad Duraković
Marjeta Mišigoj Duraković
Josip Škavić
Marija Definis Gojanović
Sažetak
The article deals with 17 sudden deaths which occurred during recreational swimming and diving in men in Croatia
in a 14-year period: from January 1, 1998 to December 31, 2011. The sample is taken out from the total number of 61
sudden deaths in men during or immediately after sport or recreational exercise. Included are also sudden deaths of 8
foreigners spending holidays at the Croatian Adriatic Coast. In all of them forensic medicine autopsy was done. Thirteen
males from Croatia died during recreational swimming. Three of them were aged 15–29 yrs: one had signs of hypertrophic
cardiomyopathy, the second suffered from chronic myopericarditis with left ventricular aneurysm, and the third
had cardiomegaly and blood alcohol level of 1.7‰. Five were aged 30–64 yrs: four of them have suffered from coronary
atherosclerosis and left ventricular hypertrophy of 15–18–18–22 mm, and one with left ventricular hypertrophy drowned
suddenly, probably because of malignant ventricular arrhythmia. The fifth suffered stroke and drowned. Five elderly
men, aged 65–85 yrs, have suffered from coronary atherosclerosis, myocardial fibrosis or myocardial scars, and three of
them had left ventricular hypertrophy of 19 mm. Four males died during recreational diving. One aged 26 yrs drowned,
at autopsy he had left ventricular hypertrophy of 17 mm. Three males were middle-aged: two had coronary atherosclerosis,
two of them had a severe degree of coronary atherosclerosis and one had coronary atherosclerosis of medium degree
but with myocardial fibrosis and left ventricular hypertrophy of 18 mm. Seven male foreigners died, five of them during
swimming: two aged 30–64 and two aged 65–85. They all have had coronary atherosclerosis: one of them had an acute
myocardial infarction of the posterior wall, and one hypertrophic cardiomyopathy as well. One middle-aged and one elderly
man died during diving, and both had an acute myocardial infarction of the posterior wall. One elderly foreign
woman died during swimming, she had coronary atherosclerosis and a myocardial scar. In Croatia, death rate during
both swimming and diving in men aged 15–29 years amounted to 0.63/1,000.000 (p=1.0000); in those aged 30–64 it
reached 0.56/1,000.000 (p=0.3698), and in those aged 65–85 it was 1.41/1,000.000 (p=0.1849). The death rate during
swimming in men aged 15–29 amounted to 1.47/1,000.000 (p=0.9864), in men aged 30–64 it reached 0.35/1,000.000
(p=0.2245), and in those aged 65–85 it was 1.41/1,000.000 (the difference is significant, p=0.0472). The death rate during
diving in men aged 15–29 was 0.16/1,000.000, and in men aged 30–64 the observed rate was 0.21/1,000. 000
(p=1.0000).
Ključne riječi
men; recreational swimming; recreational diving; drowning; sudden death
Hrčak ID:
84940
URI
Datum izdavanja:
10.7.2012.
Posjeta: 950 *