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We would like to thank Angels Mora and Monica Valero from Sistema d'Emergencies Mediques de Catalunya for their support and help in research tasks. This project was supported by an unconditional grant from Grupo Memora. No conflict of interest to declare. The results of the study are presented clearly, honestly, and without fabrication, falsification, or inappropriate data manipulation. The results of the present study do not constitute endorsement by the American College of Sports Medicine.

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Characteristics and Causes of Sports-Related Sudden Death in the General Population during the COVID-19 Pandemic

Publicat a:Medicine And Science In Sports And Exercise. 57 (5): 962-969 - 2025-05-01 57(5), DOI: 10.1249/MSS.0000000000003637

Autors: Azeli, Youcef; Rio, Sonia; Toledo, Yobanka; Grazioli, Gonzalo; Brotons, Daniel; Sola-Munoz, Silvia; Jimenez-Fabrega, Xavier; Escalada-Roig, Xavier; Brugada, Ramon; Brugada, Josep; Ortega, Marisa; Barberia, Eneko

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PurposeCOVID-19 is an independent risk factor for cardiovascular disease. The aim of this study is to determine the burden, characteristics, and causes of sudden death in sport (SrSD) before and after the COVID-19 pandemic in the general population.MethodsRetrospective observational study. Autopsied SrSD studied in Catalonia was consecutively included. Two periods were considered: before lockdown (January 2019-March 2020) and after lockdown (March 2020-December 2021). Initial care variables and causes of death were collected. Periods were compared, and logistic regression analyses were performed.ResultsA total of 156 SrSD were collected, with no differences in the incidence between the study periods. Of the cases, 98.7% were male, with a mean age of 55.8 yr (SD, 12.1). Cycling was practiced by 40.0%. Coronary artery disease was the leading cause of death, with no difference before and after lockdown. No cases of myocarditis were described. Of the total number of SrSD, 98 (62.8%) received a cardiopulmonary resuscitation (CPR) attempt. After lockdown, the SrSD that occurred in country areas decreased (40.6% vs 24.4%, P = 0.032), and the rate of CPR attempts (54.3% vs 69.8%, P = 0.034) and hands-only CPR increased (76.6% vs 57.9%, P = 0.048).ConclusionsThere were no changes in the burden and causes of SrSD before and after the COVID-19 lockdown. Differences were found in the SrSD initial care received due to the change of basic life support recommendations and the sport activity habits.

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