Mountain & Alpine Medicine

Sudden cardiac death (SCD) is an unanticipated and dramatic event resulting from cardiac causes. First reports on SCDs during mountain sports activities date back to the 1970s and 1980s of the last century. Relatively large datasets have been collected in Austria from 1985 onwards initiating systema...

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Main Authors: Burtscher M, 2, Niederseer D
Format: Article
Language:deu
Published: SportMed Verlag 2020-11-01
Series:Deutsche Zeitschrift für Sportmedizin
Online Access:https://www.germanjournalsportsmedicine.com/archive/archive-2020/issue-11-12/sudden-cardiac-death-during-mountain-sports-activities/
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author Burtscher M
2
Niederseer D
author_facet Burtscher M
2
Niederseer D
author_sort Burtscher M
collection DOAJ
description Sudden cardiac death (SCD) is an unanticipated and dramatic event resulting from cardiac causes. First reports on SCDs during mountain sports activities date back to the 1970s and 1980s of the last century. Relatively large datasets have been collected in Austria from 1985 onwards initiating systematic recordings and analyses of risk factors and triggers of SCDs during mountain sports activities. The results presented in this publication are derived from a literature search on reported SCDs that occurred during selected mountaineering activities with particular regard to study findings based on data collected in Austria.We found a relatively low SCD risk during mountaineering activities, amounting to about 1 SCD per 1 million activity days when hiking, trekking or ski touring, which is even lower during downhill skiing but higher in competitive cross-country skiing. The risk is much higher in men than in women and increases sharply above the age of 34. Main risk factors include prior myocardial infarction, coronary artery disease, arterial hypertension, hypercholesterolaemia and diabetes mellitus type 2, but regular and sport-specific activities turned out to be important protective factors. Unaccustomed physical exertion, in particular on the first days in the mountains (altitude), prolonged activities without rest and insufficient energy and fluid intake represent important SCD triggers. Besides considering these potential triggers during mountaineering activities, sports medical examination, appropriate pharmacological therapy of risk factors and physical preparation represent preventive key elements.Key Words: Exercise, Mountains, Cardiovascular, Risk, Triggers, Prevention
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institution Kabale University
issn 0344-5925
2510-5264
language deu
publishDate 2020-11-01
publisher SportMed Verlag
record_format Article
series Deutsche Zeitschrift für Sportmedizin
spelling doaj-art-ccda6cbde3024c3093f34c7f0e18de3e2025-08-20T03:38:44ZdeuSportMed VerlagDeutsche Zeitschrift für Sportmedizin0344-59252510-52642020-11-01711110.5960/dzsm.2020.447308722Mountain & Alpine MedicineBurtscher M2Niederseer DSudden cardiac death (SCD) is an unanticipated and dramatic event resulting from cardiac causes. First reports on SCDs during mountain sports activities date back to the 1970s and 1980s of the last century. Relatively large datasets have been collected in Austria from 1985 onwards initiating systematic recordings and analyses of risk factors and triggers of SCDs during mountain sports activities. The results presented in this publication are derived from a literature search on reported SCDs that occurred during selected mountaineering activities with particular regard to study findings based on data collected in Austria.We found a relatively low SCD risk during mountaineering activities, amounting to about 1 SCD per 1 million activity days when hiking, trekking or ski touring, which is even lower during downhill skiing but higher in competitive cross-country skiing. The risk is much higher in men than in women and increases sharply above the age of 34. Main risk factors include prior myocardial infarction, coronary artery disease, arterial hypertension, hypercholesterolaemia and diabetes mellitus type 2, but regular and sport-specific activities turned out to be important protective factors. Unaccustomed physical exertion, in particular on the first days in the mountains (altitude), prolonged activities without rest and insufficient energy and fluid intake represent important SCD triggers. Besides considering these potential triggers during mountaineering activities, sports medical examination, appropriate pharmacological therapy of risk factors and physical preparation represent preventive key elements.Key Words: Exercise, Mountains, Cardiovascular, Risk, Triggers, Preventionhttps://www.germanjournalsportsmedicine.com/archive/archive-2020/issue-11-12/sudden-cardiac-death-during-mountain-sports-activities/
spellingShingle Burtscher M
2
Niederseer D
Mountain & Alpine Medicine
Deutsche Zeitschrift für Sportmedizin
title Mountain & Alpine Medicine
title_full Mountain & Alpine Medicine
title_fullStr Mountain & Alpine Medicine
title_full_unstemmed Mountain & Alpine Medicine
title_short Mountain & Alpine Medicine
title_sort mountain amp alpine medicine
url https://www.germanjournalsportsmedicine.com/archive/archive-2020/issue-11-12/sudden-cardiac-death-during-mountain-sports-activities/
work_keys_str_mv AT burtscherm mountainampalpinemedicine
AT 2 mountainampalpinemedicine
AT niederseerd mountainampalpinemedicine