Izvorni znanstveni članak
Sudden Death Due to Recreational Exercise in Physicians
Z. Duraković
M. Mišigoj-Duraković
J. Škavić
Sažetak
In a period from 1982-2002 we noticed five dead among Croatian male physicians
aged 34 to 67, during or after recreational physical exercise: swimming, soccer, tennis
and jogging. Three of them who were autopsied, have been non-smokers and without
previous symptoms. In all coronary heart disease was found. The left descending anterior
artery was stenotic in one and occluded in two, with myocardial scars in one. An
acute myocardial infarction was found in none of them, and in two-left ventricular hypertrophy
15 and 18 mm. We could not find a recent medical record in those physicians
including a clinical finding and other findings. Two physicians who were not been autopsied,
had possible an alcohol cardiomyopathy. Both of them were smokers. In Croatia
about 7 % of the whole population are engaged in recreational physical exercise. In
a period of twenty years (1982–2002) we noticed 43 sudden and unexpected deaths during
or immediately after physical exercise: it reached 43/6,300,000 sudden death in
Croatia in twenty years or 2.15/315,000 yearly among persons engaged in physical exercise.
In Croatia there are 4,957 male physicians-specialists, and a rate of sudden cardiac
death during or immediately after physical exercise in this group reached 5/99,140
in 20 years or 1/19,828 every four years. A medical check up before recreational physical
exercise is essential including a clinical examination, a serum concentration of risk
factors and other risk factors, an electrocardiogram at rest, a stress test and
echocardiography in clinical indication, as are medical controls over persons taking exercise.
This study shows that medical evaluation is important because of the underlying
problems such as sudden death during exercise. In non-trained persons and in the elderly
a physical exercise should be recommended of a gradually intensity, which could
not exceed 6 METs.
Ključne riječi
Hrčak ID:
28291
URI
Datum izdavanja:
16.12.2002.
Posjeta: 760 *