alexa Swimming - Trigerred Acute Cardiovascular Complications
ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
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Research Article

Swimming - Trigerred Acute Cardiovascular Complications in Elders

Zijad Durakovic1*, Marjeta Misigoj Durakovic2 and Josip Skavic3
1Department of Medical Anthropology and Epidemiology, Zagreb, Institute for Anthropological Research, Croatia
2Faculty of Kinesiology, Department of Kinesiological Anthropology, University of Zagreb, Croatia
3University of Zagreb, School of Medicine, Department of Forensic Medicine and Criminology, Croatia
Corresponding Author : Zijad Durakovic, MD, PhD, FACP
Department of Medical Anthropology
Institute for Anthropological Research
Ljudevita Gaja Street 32, 10000 Zagreb, Croatia
E-mail: [email protected]
Received March 08, 2013; Accepted April 12, 2013; Published April 15, 2013
Citation: Durakovic Z, Durakovic MM, Skavic J (2013) Swimming - Trigerred Acute Cardiovascular Complications in Elders. J Clinic Experiment Cardiol S10:002. doi:10.4172/2155-9880.S10-002
Copyright: © 2013 Durakovic Z, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Background: Our aim was to analyze the prevalence and causes of sudden death due to recreational swimming in the elderly in Croatia in a 15-year period and to analyze what complications could we determine due to recreational swimming in elders, compared to other age groups. Methods: In this period 22 persons from Croatia died suddenly due to recreational swimming in a summer time. In all of them forensic medicine autopsy was done. The data are a part of a retrospective study, collected from the whole population consisting of 4,500.000 persons from the registry of the Forensic Medicine Services, the Public Health Registry and from sport’s clubs in Croatia. Results: Nine of those suddenly deceased persons were aged 65-84: eight men and one woman. All have suffered from coronary atherosclerosis, myocardial fibrosis or myocardial scars, one of them had rupture of the thoracic aorta, and six of them had left ventricular hypertrophy. Ten were aged 30-64: seven of them have suffered from coronary atherosclerosis and seven had left ventricular hypertrophy. Three were aged 18-29: one had hypertrophic cardiomyopathy, the other had chronic myopericarditis, and the third had cardiomegaly and blood alcohol level of 1.7%. In Croatia, the death rate during swimming in men aged 65-82 is significantly higher than in other age groups: in men aged 30-64 and 18-29. Conclusion: In Croatia in all eight elderly persons died suddenly, and in 7/10 middle aged, coronary heart disease was a leading cause of sudden death due to swimming. Left ventricular hypertrophy was found in 6/9 elders and in 7/10 middle aged persons. The death rate due to swimming in men aged 65-84: 2.10/1,000.000, is significantly higher than in those aged 30-64: 0.65/1,000.000 (p=0.0209), and in men aged 18-29: 0.44/1,000.000 (p=0.0244), and in two groups aged 18-64 put together: 0.59/1,000.000 (p=0.0064).

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