แนวคิดหลัก
Sports-related sudden cardiac arrest is significantly less common in women compared to men.
บทคัดย่อ
The content discusses the rarity of sports-related sudden cardiac arrest (Sr-SCA) in women compared to men based on data from European registries. Key points include:
- Incidence of Sr-SCA significantly lower in women than men.
- Study suggests risk-adapted screening for women.
- Majority of Sr-SCA cases occur in men.
- Women more likely to have Sr-SCA during light or moderate physical activity.
- Similar average age of Sr-SCA between men and women.
- Different prevalence of heart disease conditions between genders.
- Witness presence and assistance in most Sr-SCA cases.
- Questions raised about pre-sport screening methods for women.
- Debate on the value of preparticipation screening beyond history and physical examination.
- Recommendations for cardiovascular risk factor screening in routine primary care.
สถิติ
The average annual incidence of Sr-SCA in women was 0.19 per million compared with 2.63 per million in men (P < .0001).
The incidence of Sr-SCA increased only slightly in postmenopausal women, while there was an 8-fold increase in men aged 60 to 74 years, relative to peers younger than 40 years.
Pulseless electrical activity and asystole were more common in women than in men (40.7% vs 19.1%).
คำพูด
"Our study shows that cardiac arrest during sports activities is up to 13 times less frequent in women, which means that the risk of sports-related cardiac arrest is substantially lower in women than in men." - Orianne Weizman, MD, MPH