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CARDIOLOGY / CLINICAL RESEARCH
It is not just a game. Do soccer matches affect cardiovascular events?
1
Department of Invasive Cardiology, Medical University of Bialystok, Bialystok, Poland
Submission date: 2020-05-05
Final revision date: 2020-05-27
Acceptance date: 2020-06-09
Online publication date: 2020-07-03
Publication date: 2026-01-16
Corresponding author
Lukasz Kuźma
Department of Invasive Cardiology Medical University of Bialystok, Poland 24 A M. Sklodowskiej-Curie St 15-276 Bialystok, Poland
Department of Invasive Cardiology Medical University of Bialystok, Poland 24 A M. Sklodowskiej-Curie St 15-276 Bialystok, Poland
Arch Med Sci 2025;21(6):2287-2294
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Acute coronary syndrome (ACS) could be triggered by emotions that are often associated with watching sport events. The aim of this study was to assess the influence of soccer matches on the frequency of admissions for ACS.
Material and methods:
The study was based on the medical records of patients treated at the Clinical Hospital of Medical University of Bialystok from 2007 to 2018. All the official matches of the local team that took place during the study period were included in the analysis. A Poisson regression with a time effect of 0 and +1 day was used to assess the effect of matches.
Results:
A total of 10 529 patients admitted due to ACS from Bialystok city and county were included in the analysis. The mean age of the patients was 66.6 ±12 years, and the majority were male (62%). The mean daily number of ACS admissions was 2.4 ±1.7. Since 2007, Jagiellonia Białystok has played 451 matches in total. The comparative analysis of exciting matches showed a higher frequency of admissions due to unstable angina (UA) (1.50 ±1.55 vs. 0.71 ±0.90, p < 0.01). The lost matches played at home were associated with a 27% increase in the number of male admissions for ACS (RR = 1.27, 95% CI: 1.02–1.58, p = 0.03).
Conclusions:
The results achieved by the local professional soccer team are related to the incidence of ACS in the male population. Emotions caused by lost games play an important role as a triggering factor for ACS in this group.
Acute coronary syndrome (ACS) could be triggered by emotions that are often associated with watching sport events. The aim of this study was to assess the influence of soccer matches on the frequency of admissions for ACS.
Material and methods:
The study was based on the medical records of patients treated at the Clinical Hospital of Medical University of Bialystok from 2007 to 2018. All the official matches of the local team that took place during the study period were included in the analysis. A Poisson regression with a time effect of 0 and +1 day was used to assess the effect of matches.
Results:
A total of 10 529 patients admitted due to ACS from Bialystok city and county were included in the analysis. The mean age of the patients was 66.6 ±12 years, and the majority were male (62%). The mean daily number of ACS admissions was 2.4 ±1.7. Since 2007, Jagiellonia Białystok has played 451 matches in total. The comparative analysis of exciting matches showed a higher frequency of admissions due to unstable angina (UA) (1.50 ±1.55 vs. 0.71 ±0.90, p < 0.01). The lost matches played at home were associated with a 27% increase in the number of male admissions for ACS (RR = 1.27, 95% CI: 1.02–1.58, p = 0.03).
Conclusions:
The results achieved by the local professional soccer team are related to the incidence of ACS in the male population. Emotions caused by lost games play an important role as a triggering factor for ACS in this group.
REFERENCES (33)
1.
Wojtyniak B, Goryński P. Health situation of the Polish population and its conditions. National Institute of Public Health – National Institute of Hygiene. Warsaw 2018.
2.
Statistics Poland Department of Demographic and Labour Market Research. Population projection for Poland for the years 2015-2050. Warsaw 2015.
3.
Zandecki L, Janion M, Sadowski M, et al. Associations of changes in patient characteristics and management with decrease in mortality rates of men and women with ST-elevation myocardial infarction – a propensity score-matched analysis. Arch Med Sci 2020; 16: 772-80.
4.
Piątek Ł, Wilczek K, Kurzawski J, et al. Gender-related disparities in the treatment and outcomes in patients with non-ST-segment elevation myocardial infarction: results from the Polish Registry of Acute Coronary Syndromes (PL-ACS) in the years 2012–2014. Arch Med Sci 2020; 16: 781-8.
5.
Roffi M, Patrono C, Collet JP, et al. 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: task force for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation of the European Society of Cardiology. Eur Heart J 2016; 37: 267-315.
6.
Spacek M, Zemanek D, Hutyra M, Sluka M, Taborsky M. Vulnerable atherosclerotic plaque – a review of current concepts and advanced imaging. Biomed Pap Med 2018; 162: 10-7.
7.
Bazoukis G, Tse G, Naka KK, et al. Impact of major earthquakes on the incidence of acute coronary syndromes – a systematic review of the literature. Hellenic J Cardiol 2018; 59: 262-7.
8.
Mostofsky E, Penner EA, Mittleman MA. Outbursts of anger as a trigger of acute cardiovascular events: a systematic review and meta-analysis. Eur Heart J 2014; 35: 1404-10.
9.
Dahabreh IJ, Paulus JK. Association of episodic physical and sexual activity with triggering of acute cardiac events: systematic review and meta-analysis. JAMA 2011; 305: 1225-33.
10.
Servoss SJ, Januzzi JL, Muller JE. Triggers of acute coronary syndromes. Prog Cardiovasc Dis 2002; 44: 369-80.
11.
Meisel SR, Kutz I, Dayan KI, et al. Effect of Iraqi missile war on incidence of acute myocardial infarction and sudden death in Israeli civilians. Lancet 1991; 338: 660-1.
12.
Witte DR, Bots ML, Hoes AW, Grobbee DE. Cardiovascular mortality in Dutch men during 1996 European soccer championship: longitudinal population study. BMJ 2000; 321: 1552-4.
13.
Carroll D, Ebrahim S, Tilling K, Macleod J, Smith GD. Admissions for myocardial infarction and World Cup soccer: database survey. BMJ 2002; 325: 1439-42.
14.
Katz E, Metzger JT, Schlaepfer J, et al. Increase of out-of-hospital cardiac arrests in the male population of the French speaking provinces of Switzerland during the 1998 FIFA World Cup. Heart 2005; 91: 1096-7.
15.
Katz E, Metzger JT, Marazzi A, Kappenberger L. Increase of sudden cardiac deaths in Switzerland during the 2002 FIFA World Cup. Int J Cardiol 2006; 107: 132-3.
16.
Wilbert-Lampen U, Leistner D, Greven S, et al. Cardiovascular events during World Cup Soccer. N Engl J Med 2008; 358: 475-83.
17.
Olsen P, Elliott J, Frampton C, Bradley P. Winning or losing does matter: acute cardiac admissions in New Zealand during Rugby World Cup tournaments. Eur J Prev Cardiol 2015; 22: 1254-60.
18.
The largest archive of Polish soccer. Available at www.90minut.pl. Accessed October 15, 2019.
19.
Official Polish top division service. Available at www.ekstraklasa.org. Accessed October 15, 2019.
21.
National Health Fund Department of Analysis and Strategy. Analysis of the causes of the increase in the number of deaths in Poland in 2017. Published on Jan 1, 2018.
22.
Chlebus K, Gąsior M, Gierlotka M, et al. Occurrence, treatment and secondary prevention of myocardial infarction in Poland. Evaluation based on the National Database of Myocardial Infarctions – AMI-PL 2009-2012. Warsaw, Zabrze, Gdansk; 2014.
23.
Kurzynowski A, Zatoński W. The morbidity and mortality of cardiovascular diseases and the demographic situation in Poland. Warsaw 2015.
24.
Kloner RA. Natural and unnatural triggers of myocardial infarction. Prog Cardiovasc Dis 2006; 48: 285-300.
25.
Dar T, Radfar A, Abohashem S, Pitman RK, Tawakol A, Osborne MT. Psychosocial stress and cardiovascular disease. Curr Treat Options Cardiovasc Med 2019; 21: 23.
26.
Kirkup W, Merrick DW. A matter of life and death: population mortality and soccer results. J Epidemiol Community Health 2003; 57: 429-32.
27.
Kloner RA, McDonald S, Leeka J, Poole WK. Comparison of total and cardiovascular death rates in the same city during a losing versus winning super bowl championship. Am J Cardiol 2009; 103: 1647-50.
28.
Hagihara A, Onozuka D, Hasegawa M, Miyazaki S, Nagata T. Grand sumo tournaments and out-of-hospital cardiac arrests in Tokyo. J Am Heart Assoc 2018; 7: e009163.
29.
Edmondson D, Newman JD, Whang W, Davidson KW. Emotional triggers in myocardial infarction: do they matter? Eur Heart J 2013; 34: 300-6.
30.
Barone-Adesi F, Vizzini L, Merletti F, Richiardi L. It is just a game: lack of association between watching soccer matches and the risk of acute cardiovascular events. Int J Epidemiol 2010; 39: 1006-13.
31.
Marques-Vidal P, Paccaud F. Watching soccer matches and the risk of acute myocardial infarction. Int J Epidemiol 2011; 40: 838-9.
32.
Niedersee D, Thalerd CW, Egge A, Niedersee MC, Plöderle M, Niebauer J. Watching soccer is not associated with an increase in cardiac events. Int J Cardiol 2013; 170: 189-94.
33.
Jauss M, Sitzer M, Stolz E, Misselwitz B, Rosenow F. Lack of increase of cerebrovascular events during German World Cup soccer games in 2006. J Neurol 2009; 256: 863-6.
| eISSN: | 1896-9151 |
| ISSN: | 1734-1922 |
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