Risk factor profile for XXXX during mountain hiking.

@entity1164 @entity1 @entity1007 @entity6 @entity63 @entity26 @entity117 @entity397 @entity5099 @entity453 @entity943 @entity715
Mountain hiking is associated with a death rate of about 4 deaths per 100,000 hikers annually. About 50 % of all fatalities during mountain hiking are @entity1164 ( @entity1164 ). But there are only few data available regarding risk factors and triggers associated with @entity5099 during mountain hiking. Thus, a case-control analysis between @entity1 who died suddenly during mountain hiking and randomly selected controls was carried out. Risk factor profiles of 179 males over the age of 34 who suffered @entity5099 during mountain hiking were compared to those of 537 matched controls. Hikers who died suddenly during mountain hiking were much more likely to have had a prior MI (17% vs. 0.9%; p < 0.001), known @entity453 ( @entity453 ) without prior MI (17 % vs. 4%; p < 0.001), @entity6 (6% vs. 1 %; p < 0.001), @entity1007 (54 % vs. 20%; p < 0.001), and were less engaged in regular mountain sports activities (31% vs. 58%; p < 0.001) compared to hikers from the control group. Based on the reported relationship between traditional risk factors and coronary plaque morphology, acute @entity397 with @entity715 formation and subsequent lethal @entity943 may be assumed to be a dominant mechanism precipitating @entity5099 during hiking. In contrast, in skiers especially non-occlusive plaques may precipitate @entity63 leading to an imbalance between @entity26 demand and supply and subsequent lethal @entity943 . As preventive measures recommended to hikers at risk, adaptation to regular mountain sports activities by an adequate training program and pharmacological interventions, e.g. lipid lowering drugs, @entity117 , and beta-blockers, should be considered.
