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Two Cases of Acute Myocardial Infarction Occurring in Healthy Adults during a Marathon Race

건강한 성인에서 마라톤 경기 중 발생한 급성 심근경색증 2예

  • Lee, Byoungmoo (Division of Cardiology, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Ahn, Pyoung (Division of Cardiology, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Min, Hyunjoon (Division of Cardiology, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Park, Sanghyun (Division of Cardiology, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Choi, Hyunhee (Division of Cardiology, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Yoon, Duckhyoung (Division of Cardiology, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Hong, Kyungsoon (Division of Cardiology, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine)
  • 이병무 (한림대학교 의과대학 춘천성심병원 순환기내과) ;
  • 안평 (한림대학교 의과대학 춘천성심병원 순환기내과) ;
  • 민현준 (한림대학교 의과대학 춘천성심병원 순환기내과) ;
  • 박상현 (한림대학교 의과대학 춘천성심병원 순환기내과) ;
  • 최현희 (한림대학교 의과대학 춘천성심병원 순환기내과) ;
  • 윤덕형 (한림대학교 의과대학 춘천성심병원 순환기내과) ;
  • 홍경순 (한림대학교 의과대학 춘천성심병원 순환기내과)
  • Received : 2012.08.02
  • Accepted : 2012.11.07
  • Published : 2013.10.01

Abstract

It is generally accepted that vigorous exercise may trigger cardiovascular accidents if underlying cardiovascular disease is present. Coronary artery disease is the most frequent cause of sudden cardiac arrest, especially in older individuals (${\geq}$ 35 years of age). We describe two patients who presented with cardiac arrest followed by loss of consciousness. Both had been participating in a marathon race. After acute myocardial infarction was diagnosed by electrocardiography and laboratory findings, urgent percutaneous coronary intervention was performed on both patients.

기존에 심혈관계 구조적인 이상을 가지고 있던 환자에서 격렬한 운동 중 급성 관상동맥 질환의 발생률이 높은 것으로 알려져 있다. 저자들이 경험한 두 증례는 특이 기왕력도 없었고 마라톤과 같은 격렬한 운동을 하면서 건강하다고 생각해 왔던 환자들이 단일 마라톤 경기 중 의식 저하 및 심정지가 발생한 경우였다. 두 환자 모두 현장에서 심폐소생술을 바로 시행하였고 첫 환자에서는 ST 분절의 상승을 동반한 급성 심근경색증, 두 번째 환자에서는 ST 분절의 상승을 동반하지 않은 급성 심근경색증으로 진단하고 응급으로 경피적 관동맥 중재술을 시행하여 치료하였다. 마라톤 경기 도중 급성심근경색이 발생하였던 환자를 빠르고 정확한 심폐소생술 및 적절한 치료로 후유증 없이 회복시켰던 두 증례를 경험하여 문헌고찰과 함께 보고하고자 한다.

Keywords

References

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