{"id":"538954f88e53","type":"article","url":"https://hartvaat.nl/2026/02/03/plotse-hartstilstand-tijdens-duursporten-tien-jaar-parijse-registerdata/","title":"Plotse hartstilstand tijdens duursporten: tien jaar Parijse registerdata","title_en":"Characteristics of sudden cardiac arrest during endurance racing: a decade of the Paris registry.","category":"atriumfibrilleren","category_label":"Atriumfibrilleren","professions":["cardioloog","huisarts"],"tags":[],"journal":"Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology","doi":"10.1093/europace/euaf313","source_url":"https://doi.org/10.1093/europace/euaf313","authors":["Richard Chocron","Thomas Laurenceau","Pierre Cezard","Marion Chabrol","Soline Mignot","Ugo Meli","Camille Langlois","Peter J Schwartz","Stefan Kääb","Bernard I Levy","Frankie Beganton","Wulfran Bougouin","Alain Cariou","Frédéric Adnet","Florence Dumas","Thomas Loeb","Anne-Laure Feral-Piersens","Matthieu Heidet","Daniel Jost","Jean-Philippe Empana","Xavier Jouven"],"significance":6,"published":"2026-02-03","source_date":"2026-02-03","image":"","kennis":["https://hartvaat.nl/kennis/ritmestoornissen/sport-en-ritmestoornissen/"],"congress":"","summary_en":"This decade-long Paris registry analysis characterized sudden cardiac arrest during endurance racing, documenting the incidence, causes, and survival rates of this rare but devastating complication of competitive endurance sports.","created":"2026-07-03T10:25:13Z","updated":"2026-07-03T13:24:39Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"De groeiende populariteit van duursporten vraagt om meer inzicht in sportgerelateerde plotse hartstilstand (Sr-SCA). Hoewel zeldzaam, komt Sr-SCA significant vaker voor bij mannen. Deze studie onderzocht kenmerken en sekseverschillen over een decennium aan data uit het Parijse register.","abstract_original":"AIMS: The rising popularity of endurance races underscores the need to explore the risks of sports-related sudden cardiac arrest (Sr-SCA). Although rare, Sr-SCA is significantly more prevalent in men than in women. The mechanisms underlying these sex differences remain unclear.We aimed to investigate the incidence rates, clinical characteristics, aetiologies, sex differences, and exercise performances among SCA cases during major endurance races in Paris over a 10-year period. METHODS AND RESULTS: We Analysed the Paris Sudden Death Expertise Centre Registry Data (Covering 2011-2024, excluding 2020). This included SCA cases from the half marathon, full marathon and 20 km Parisian race events. We calculated the incidence rates for men and women, with performance analyses focusing on acceleration patterns and the relative risk of SCA in the final kilometre. Among the 1.2 million participants, 17 SCA cases (88% male) were identified, yielding crude incidences of 16.9 and 5.7 per million for men and women, respectively. Sr-SCA was overrepresented in the final kilometres of short races. Men exhibited twice the acceleration rate that women did. Despite extensive medical investigations, no cause was identified in 47.1% of the cases, underscoring the idiopathic nature of Sr-SCA. After hospitalization, 88% (15/17) of the cases survived, all with excellent neurological outcomes [cerebral performance category (CPC) 1], except for one CPC 2. CONCLUSION: SCA incidences during endurance races are low, with male predominance, high survival rates, and a high proportion of unexplained cases. The male-specific acceleration in the final kilometre may suggest that physiological and behavioural factors influence SCA risk."}