XXXX due to recreational exercise in physicians.

@entity1 @entity1164 @entity296 @entity301 @entity167 @entity944 @entity123 @entity583
In a period from 1982-2002 we noticed five dead among Croatian male physicians aged 34 to 67, during or after recreational physical exercise: swimming, soccer, tennis and jogging. Three of them who were autopsied, have been non-smokers and without previous symptoms. In all @entity301 was found. The left descending anterior artery was stenotic in one and occluded in two, with @entity296 in one. An @entity583 was found in none of them, and in two-left @entity123 15 and 18 mm. We could not find a recent medical record in those physicians including a clinical finding and other findings. Two physicians who were not been autopsied, had possible an @entity167 @entity296 . Both of them were smokers. In Croatia about 7% of the whole population are engaged in recreational physical exercise. In a period of twenty years (1982-2002) we noticed 43 sudden and unexpected deaths during or immediately after physical exercise: it reached 43/6,300,000 @entity944 in Croatia in twenty years or 2.15/315,000 yearly among @entity1 engaged in physical exercise. In Croatia there are 4,957 male physicians-specialists, and a rate of @entity1164 during or immediately after physical exercise in this group reached 5/99,140 in 20 years or 1/19,828 every four years. A medical check up before recreational physical exercise is essential including a clinical examination, a serum concentration of risk factors and other risk factors, an electrocardiogram at rest, a stress test and echocardiography in clinical indication, as are medical controls over @entity1 taking exercise. This study shows that medical evaluation is important because of the underlying problems such as @entity944 during exercise. In non-trained @entity1 and in the elderly a physical exercise should be recommended of a gradually intensity, which could not exceed 6 METs.
