* For medical professionals reading only,
The World Cup are smoke everywhere, and the cold wave is cooling down soon. Can you still watch the game with "safety"? The literature will help you answer.
Qatar World Cup is in full swing, and the "little heart" of fans is also ups and downs with the progress of the game. During every World Cup, there are reports of fans seeking medical treatment after a sudden cardiovascular disease. Unlike the previous two World Cups, 2014 Brazil World Cup and 2018 Russia World Cup are both held in the summer, while this year's Qatar World Cup is in winter. Of course, the country where the event is held is not cold, but as spectators, we are experiencing a large-scale cooling.
Cold wave, staying up late, insomnia, emotional excitement, smoking, drinking, when these recognized cardiovascular risk factors intersect with the World Cup, can you still watch the football happily this year? Fans and friends are not in a hurry to draw conclusions, let’s take a look at the literature first.
The top international medical journal "New England Journal of Medicine" published the 2006 World Cup , from the opening match between the host Germany and the Costa Rica on June 9 (marked "1" in Figure 1) to the French-Italy final on July 9 (marked "8" in Figure 1), a cardiovascular emergency occurred in a certain place in Germany. It was found that compared with the non-World Cup period, the World Cup caused a 2.6-fold increase in cardiovascular emergency, while the highest growth was in the quarter-finals of Germany against Argentina and the semi-finals against Italy (notations "5" and "6" in Figure 1).
Figure 1 Cardiovascular emergency disease during the World Cup in Germany (2006) (the table marked "1~7" represents the German team's match day, and "8" represents the final day)
If Europeans love football, then South Americans are no exception. Brazil, the football kingdom, also conducted a similar study, and counted the occurrence of acute myocardial infarction during the four World Cups in 1998, 2002, 2006 and 2010. It was found that in addition to removing the factor of population change, Brazil's game day period was significantly higher than that of non-match days (Figure 2).
Figure 2 The occurrence of acute myocardial infarction in Brazil during the four consecutive World Cups. The Brazilian match day was significantly higher than that of non-match days (the value exceeds 1 indicates significant significance)
Both the above two football powers concluded that the World Cup has a certain negative impact on cardiovascular emergency. During the World Cup , measures should be taken in advance to prevent cardiovascular emergency.
is slightly different from the above study. French people who are full of romanticism believe that the French team's championship on the 1998 World Cup final significantly reduced the mortality rate of male patients with myocardial infarction that day, but there was no significant difference in women (Figure 3). It seems that French male fans are very happy.
Figure 3 The French team's championship on the day of the World Cup (1998) significantly reduced the mortality rate of male patients with myocardial infarction on the day, but there was no significant difference for women
If the situation of these strong football teams is not comparable to that of China, the conclusion may not be suitable for our national conditions. Then let’s take a look at the situation of the European team Croatia . Croatia was the runner-up in the 2018 World Cup. Their study found that the incidence of cardiovascular emergency during the World Cup was 1.15 times that during the non-World Cup period (95% confidence interval: 1.02~1.31), and the incidence of women is more obvious than that in men (Figure 4). It seems that female fans in Croatia are also crazy.
Figure 4 During the World Cup (2018) and during the non-World Cup (2017 and 2019), the ratio of men and women to be admitted to the cardiovascular emergency hospital has changed. It can be seen that the proportion of female cardiovascular emergency hospitalizations has increased significantly during the World Cup, basically close to men, while during the non-World Cup, women are only half of men.
After reading the documents for a long time, I was still confused. Can I watch the football happily? Below we clarify this issue from an academic point of view.
(1) The above studies are all the results of the onset of domestic teams entering the World Cup, while the Chinese team did not enter the game. The premise and basis of the research are different, and the conclusions drawn are also different.
(2) Secondly, the football penetration rate in the above-mentioned countries is high, and the participation of the whole people can be directly analyzed by the number of patients and the population base. However, the football penetration rate and participation rate in my country are far lower than those in the above-mentioned countries. There may be a role for most cardiovascular emergency patients to dilute the relevant patients without being related to the World Cup.
Want to watch the game with confidence?
can refer to the following tips
(1) Avoid staying up late continuously. If you really need to stay up late for a while, it is important to take a nap and take a sip; do not stay up late for more than two nights, otherwise it will easily induce cardiovascular emergency disease.
(2) Avoid sitting for a long time. In addition to using your eyes and mouth (mainly eating and drinking, and occasionally swearing and making excuses), you should also cooperate with leg movements to move your lower limbs to avoid thrombosis caused by sitting for a long time and causing pulmonary embolism .
(3) Avoid no urine points throughout the whole process. Beer is indispensable when watching football. After a few bottles, relax when it is time to relax and avoid holding back urine during the intense battle. It may cause cardiovascular diseases due to urination.
(4) The cholesterol content of potato chips, chicken feet, peanuts and other cholesterol in the snacks is high, so it is not advisable to eat too much; although coffee is refreshing, it is not advisable to drink too much; fresh fruits should be supplemented appropriately.
(5) Smoking is not only a lung injury, but also a heartbreaker. smoking in a closed environment, air is not circulated, and hypoxia is caused by coronary spasm of or plaques falling off, leading to myocardial infarction. If you add alcohol , it is like "cephalosporin and wine, just go away".
(6) Treat the winners and loses calmly with a mentality. , especially for a team that does not like the whole nation, you can engage in a "war of words" and be a "keyboard war" and post it on WeChat Moments. Faced with the upset, "Twilight of Ragnarok" and the hormones on the screen, be sure to avoid affecting your blood pressure and causing hypertension and emergency such as aortic dissection , cerebral hemorrhage , etc., and don't be careful of the heart "flying" to cause arrhythmia.
(7) Watching football in a civilized manner does not advocate gambling, cannot control it. Small gambling is good for fun, big gambling is harmful to the body, and big gambling is bad to go to the rooftop. In such cold weather, no matter how many people there are on the rooftop, it is not easy to keep warm.
(8) The last point is very important. Remember not to ask which group the Chinese team is divided into. I secretly tell you that the Chinese team is divided into the referee group, maintenance group, infrastructure group, and the largest advertising sponsorship group of this Qatar World Cup. Chinese elements fill the entire World Cup. As long as you have this in your heart, you can watch the game with confidence. Health advice on watching the World Cup above
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References:
[1]Ute Wilbert-Lampen, David Leistner, Sonja Greven, et al.Cardiovascular events during World Cup soccer.N Engl J Med.2008 Jan 31;358(5):475-83.doi:10.1056/NEJMoa0707427.
[2]Daniel Guilherme Suzuki Borges, Rosane Aparecida Monteiro, André Schmidt, et al.World soccer cup as a trigger of cardiovascular events.Arq Bras Cardiol.2013 Jun;100(6):546-52.doi:10.5935/abc.20130105.
[3]Berthier F,Boulay F.Lower myocardial infection mortality in French men the day France won the 1998 World Cup of football.Heart.2003 May;89(5):555-6.doi:10.1136/heart.89.5.555.
[4]MahečićLM, IljazovićF, Mišigoj-DurakovićM, et al.Incidence of cardiovascular events when watching intensity football matches-sex differences.Acta Cardiol.2022 May;77(3):250-256.doi:10.1080/00015385.2021.1908703.
Zheng Zhi, Department of Cardiac Large Vascular Surgery, Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Associate Chief Physician, Ph.D., University of Frankfurt, Germany.Member of the International Affiliated Member of the American Society of Cardiology (ACC); Member of the Thoracic Aortic Professional Committee of the Chinese Branch of the International Vascular Alliance (IUA); Member of the Asian Society of Cardiovascular and Thoracic Surgery (ASCVTS); Member of the World Chinese Association of Physicians (WACD); Member of the Vascular Medicine Professional Committee of the Chinese Society of Research Hospitals; Member of the Chest Pain Professional Committee of the Chinese Medical Education Association; Propose the minimally invasive endocrine treatment of type A aortic dissection and the individualized treatment of aortic dissection "oriented by medical humanistic care", advocate "medical innovation, humanistic innovation, and popular science innovation" in the treatment of cardiovascular critical illnesses, and published more than 30 medical papers in international journals (SCI) and domestic journals.
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This article is first published: Medical Cardiovascular Channel
Review of this article: Zhao Jiehui
Author of this article: Zheng Zhi
Editor: Peng Jianping
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