Infarctus du myocarde au cours d’une activité sportive. Caractéristiques cliniques et angiographiques en phase aiguë d’une série de 16 cas

Objective

Determination of clinical and angiographic characteristics of myocardial infarctions related to sport.

Methods

Retrospective study of acute coronary syndromes with ST elevation related to sport treated with interventional cardiology from 2006 to 2013.

Results

Sixteen patients were included. They are mostly men (15/16), aged 24–65 years (over 35 years old in 13 cases) with few cardiovascular risk factors, most frequently heredity or smoking. Myocardial infarctions usually occur during the practice of sports (13/16), with serious rhythmic complications in three of the cases. On angiography, most patients have single vessel disease (12/16).

Conclusion

Myocardial infarction related to sports affects a male population aged over 35 years old with few cardiovascular risk factors, most often single vessel disease, making the preventative screening uneasy. Other studies investigating larger populations, assessing previous clinical events (symptoms, results of stress tests), evaluating the impact of competition and integrating sudden deaths would improve the screening and the treatment of sport-related myocardial infarctions.