The forensic pathological analysis of sport-related sudden cardiac death in Southern China  

作　　者：Yeda Wu Mei Ai Adham Sameer A.Bardeesi Liyong Zhang Qiuping Wu Kun Yin Jingjing Zheng Da Zheng Lei Huang Lunwu Xu Jianding Cheng 

机构地区：[1]Department of Forensic Pathology,Zhongshan School of Medicine,Sun Yat-Sen University,Guangzhou,China [2]Forensic Science Center of Waston,Guangzhou,China [3]Branch Office of Yanping,Public Security Bureau of Nanping,Nanping,China

出　　处：《Forensic Sciences Research》2020年第1期47-54,共8页法庭科学研究（英文）

基　　金：This work was supported by the National Natural Science Foundation of China [grant number 81430046].

摘　　要：Studies regarding sport-related sudden cardiac death(SCD)mainly focus on competitive ath-letes;similar data are rare in the general population,especially in China.We conducted a retrospective study(from September 1998 to August 2013)to investigate the aetiological distribution and epidemiological features of sport-related SCD in Southern China.Selections of cases are based on details,and two subgroups were established:one was the sport-related SCD group,and the other was the disease-free accident victims group which was matched with the sport-related SCD group in gender,age and year of death.Among the 3770 sudden-death cases,1656 cases were SCD cases.A total of 65 cases(57 males)out of 1656 SCD cases were sport-related.The age range of the 65 sport-related SCD cases was from 12 to 68 years old with a mean(35.92±14.23)years old.Only two of these cases were competitive athletes.The most common circumstances of the 65 sport-related SCD cases were heavy physical labour(46.15%)and running(30.77%).The three leading forensic diag-noses were the coronary atherosclerotic disease(CAD,28 cases),cardiomyopathy(CM,14 cases)and sudden unexplained death(7 cases).CM was the most common forensic diagno-sis in those?35 years old,while CAD was the most common one in those>35 years old.Left anterior descending in which atherosclerotic plaques was most commonly found was the principal artery branch associated with sport-related SCD.There was a statistically signifi-cant difference in the weight of hearts between the 65 sport-related SCD cases and 65 dis-eases-free accidental cases.This study highlights the need to attract public attention to sport-related SCD and to issue a prevention strategy to the public,and to make the SCD-related genetic sequencing a routine tool in both forensic pathological examination and clinic screening.

关 键 词：Forensic SCIENCES forensic PATHOLOGY SPORT SUDDEN death cardiac coronary disease CARDIOMYOPATHIES 

分 类 号：D919.4[医药卫生—法医学]