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עמוד בית
Sun, 08.06.25

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IMAJ | volume 27

Journal 5, May 2025
pages: 328-333

A Cluster of Severe Cardiac Events in Fit Individuals During Standup Paddleboard Surfing

1 Department of Cardiology, Hillel Yaffe Medical Center, Hadera, Israel 2 Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel

Summary

Standup paddleboard surfing (SUP) is a sports activity in which a person stands upright on a surfboard and propels the board using a single paddle. It is an emerging recreational activity that is attracting public attention and gaining popularity because it promotes fitness, strength, and improved balance. In this review, we discuss the outcomes after severe cardiac events in SUP surfers. We report on six fit individuals (five males and one female, age range 41–69 years) who experienced sudden cardiac arrest (n=3) or acute myocardial infarction occurring during SUP. Cardiopulmonary resuscitation was initiated in three patients on presentation due to ventricular fibrillation. In four patients the culprit coronary artery was the left anterior descending artery treated by percutaneous coronary intervention. All patients were discharged alive. A review of the literature showed a paucity of scientific evidence to substantiate the proposed health benefits of SUP surfing. Our cluster of acute cardiac events occurring during this activity calls for heightened public awareness to better understand the physical demand required to practice SUP. There is a need for more data regarding the cardiovascular clinical aspects of this water activity, and the risks it entails.

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