Canadian Journal of Cardiology

Hockey Games and the Incidence of ST-Elevation Myocardial Infarction

Published:March 28, 2018DOI:



      The association between diagnosed acute ST-elevation myocardial infarction (STEMI) and hockey games in the Canadian population is unknown.


      We retrospectively analyzed the association between hockey games of the National Hockey League Montreal Canadiens and daily hospital admissions for acute STEMI at the Montreal Heart Institute, Canada.


      Between June 2010 and December 2014, a total of 2199 patients (25.9% women; mean age, 62.6 ± 12.4 years) were admitted for acute STEMI. An increase in STEMI admissions was observed the day after a hockey game of the Montreal Canadiens in the overall population (from 1.3 ± 1.2 to 1.5 ± 1.3), however, this difference was not significant (P = 0.1). The number of STEMI admissions increased significantly from 0.9 ± 1.0 to 1.2 ± 1.0 per day in men (P = 0.04), but not in women (P = 0.7). The association between ice hockey matches and STEMI admission rates was strongest after a victory of the Montreal Canadiens. Accordingly, an increased risk for the occurrence of STEMI was observed in the overall population (hazard ratio [HR], 1.15; 95% confidence interval [CI], 1.0-1.3; P = 0.037) when the Montreal Canadiens won a match. This association was present in men (HR, 1.2; 95% CI, 1.03-1.4; P = 0.02) but not in women (P = 0.87), with a most pronounced effect seen in younger men (younger than 55 years; HR, 1.4; 95% CI, 1.1-1.8; P = 0.009).


      Although a weak association between hockey games and hospital admissions for STEMI was found in our overall population, the event of a hockey game significantly increased the risk for STEMI in younger men. Preventive measures targeting behavioural changes could positively affect this risk.



      On ignore l’association entre le diagnostic d’infarctus du myocarde (IM) aigu avec élévation du segment ST et les matchs de hockey chez la population canadienne.


      Nous avons analysé de manière rétrospective l’association entre les matchs de hockey des Canadiens de Montréal de la Ligue nationale de hockey et les admissions quotidiennes en raison d’un IM aigu avec élévation du segment ST à l’Institut de cardiologie de Montréal, au Canada.


      Entre juin 2010 et décembre 2014, un total de 2199 patients (25,9 % de femmes ; âge moyen, 62,6 ± 12,4 ans) étaient admis en raison d'un IM aigu avec élévation du segment ST. Nous avons observé une augmentation des admissions en raison d’un IM avec élévation du segment ST après un match de hockey des Canadiens de Montréal dans la population globale (de 1,3 ± 1,2 à 1,5 ± 1,3). Toutefois, cette différence n’était pas significative (P = 0,1). Le nombre d’admissions en raison d’un IM avec élévation du segment ST augmentait de manière significative de 0,9 ± 1,0 à 1,2 ± 1,0 par jour chez les hommes (P = 0,04), mais non chez les femmes (P = 0,7). L’association entre les matchs de hockey sur glace et les taux d’admission en raison d’un IM avec élévation du segment ST était plus forte après une victoire des Canadiens de Montréal. Par conséquent, nous avons observé un risque accru de survenue d’un IM avec élévation du segment ST dans la population globale (rapport de risque [RR], 1,15 ; intervalle de confiance [IC] à 95 %, 1,0-1,3 ; P = 0,037) lorsque les Canadiens de Montréal gagnent le match. Cette association était présente chez les hommes (RR, 1,2 ; IC à 95 %, 1,03-1,4 ; P = 0,02), mais non chez les femmes (P = 0,87), et montrait un effet plus marqué chez les hommes plus jeunes (de moins de 55 ans ; RR, 1,4 ; IC à 95 %, 1,1-1,8 ; P = 0,009).


      Bien que nous ayons observé une faible association entre les matchs de hockey et les admissions à l’hôpital en raison d’un IM avec élévation du segment ST dans notre population globale, le fait de regarder un match de hockey augmentait de manière significative le risque d’IM avec élévation du segment ST chez les hommes plus jeunes. Des mesures de prévention qui visent les changements de comportement pourraient influencer de manière positive le risque.
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