Acute cardiac care & resuscitationCohort study

Characteristics of sudden cardiac arrest during endurance racing: a decade of the Paris registry

EuropacePublished

  • Registry-based observational study

Authors' conclusion

SCA incidences during endurance races are low, with male predominance, high survival rates, and a high proportion of unexplained cases.

Study context

Population
Participants in Paris endurance races (half marathon, marathon, 20 km), 2011–2024 excluding 202017 SCA cases
Participants
1.2 million participants
Exposure
Men vs women
Outcome
Incidence of SCA during endurance races, by sex

Main finding

As reported in the abstract

Crude SCA incidence
SCA cases male
88%

Observational data: associations, not effects.

Further findings

Timing of SCA

Overrepresented in final kilometres of short races
Men had twice the acceleration rate of women

Aetiology

No cause identified
47.1%

Survival after hospitalization

Survived
88% (15/17)
All survivors cerebral performance category (CPC) 1 except one CPC 2

Original publication

Characteristics of sudden cardiac arrest during endurance racing: a decade of the Paris registry. Europace. Published 9 February 2026. doi:10.1093/europace/euaf313

Summarised from the published abstract; every number is checked against it