Hypertrophic cardiomyopathy and sudden cardiac death due to physical exercise in Croatia in a 27-year period [Hipetrofijska kardiomiopatija i nagla ardijalan smrt za vrijeme tjelovježbe u Hrvatskoj u 27-godišnjem razdoblju]

Duraković, Zijad and Mišigoj Duraković, Marjeta and Škavić, Josip (2011) Hypertrophic cardiomyopathy and sudden cardiac death due to physical exercise in Croatia in a 27-year period [Hipetrofijska kardiomiopatija i nagla ardijalan smrt za vrijeme tjelovježbe u Hrvatskoj u 27-godišnjem razdoblju]. Collegium Antropologicum, 35 (4). pp. 1051-1054. ISSN 0350-6134

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Abstract

The paper deals with the sudden cardiac death during physical exercise in males in Croatia. The data are a part of a retrospective study dealing with 69 sudden death due to physical activity in men in Croatia during 27 years: from January 1, 1984 to December 31, 2010. Three of them suddenly died during training and two of them died during recreational physical exercise, probably because of malignant ventricular arrhythmia due to hyperthrophic cardiomyopathy. One had an obstructive form of hypertrophic cardiomyopathy with i.v. septum of 40 mm and four had a non-obstructive forms of hyperthrophic cardiomyopathy with left ventricular wall of 18-20-22-25 mm. First athlete was a short trails runner, aged 24, with no any previous physical discomforts, who suddenly collapsed and died during training. The second athlete was a soccer player aged 18, with no any previous physical discomfort, who suddenly collapsed and died during training. The third aged 15, was a school boy, basketball player, with no any previous physical discomfort, who collapsed and died during training. Two aged 25 and 34, were with no physical discomfort during exercise and died suddenly during recreational soccer games. A sudden cardiac death due to physical exercise in young athletes in Croatia suffered of hyperthropic cardiomyopathy reached 0.06/100 000 yearly (p = 0.00000) in 27 years, in teenagers 0.26/100 000 (p = 0.00226), in teenagers suffered of hypertrophic cardiomyopathy reached 0.10/100 000 (p = 0.00000), in all young athletes suffered of other heart diseases reached 0.19/100 000 (p = 0.00005), and in the total male population aged 15 or more, engaged in sports and recreational physical exercise: 0.71/100.0000 (p = 0.00001).

Abstract in Croatian

Izneseni su podaci retrospektivnog istraživanja 69 naglih kardijalnih smrti za vrijeme tjelovježbe u muškaraca u Hrvatskoj u 27-godišnjem razdoblju: od 1. siječnja 1984 do 31. prosinca 2010 g. Od toga su petorica preminuli vjerojatno zbog zloćudne aritmije klijetki tijekom hipertrofijske kardiomiopatije: tri sportaša za vrijeme treninga i dva za vrijeme rekreacijske tjelovježbe. Jedan je imao opstruktivni oblik hipertrofijske kardiomiopatije s debljinom i.v. septuma od 40 mm, ostali su imali neopstruktivni oblik s debljinom lijeve klijetke 18–20–22–25 mm. Prvi sportaš bio je trkač kratkih pruga, dobi 24 g., bez prethodnih zdravstvenih teškoća, koji je naglo kolabirao i preminuo za vrijeme treninga trčanja. Drugi i treći sportaš bili su košarkaši, dobi 18 i 15 g., oba bez prethodnih zdravstvenih teškoća, koji su kolabirali i preminuli za vrijeme treninga. Dvojica dobi 25 i 34 g. bavili su se nogometom rekreacijski, oba su bili bez zdravstvenih tegoba, oba su kolabirali i umrli za vrijeme nogometne igre. Nagla kardijalna smrt zbog hipertrofijske kardiomiopatije za vrijeme tjelovježbe u mladih sportaša u Hrvatskoj iznosi 0,06/100 000 godišnje (p=0,00000), u ostalih mladih sportaša koji su bolovali od drugih bolesti srca iznosi 0,19/100 000 (p=0,00005), a u svih muškaraca dobi 15–40 g. koji se bave sportskom ili rekreacijskom tjelovježbom iznosi 0,71/100 000 (p=0,00001).

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