Ferris Jabr, reporter
When avid sports fans sit down to watch a game on TV, they are not really on the couch: they are stepping up to the plate, sprinting down the field, gliding over the ice - they are right there, shoulder pad to shoulder pad with their favourite players.
For some die-hard fans, watching a game is apparently such an immersive experience that they, well, die of the excitement. Exhilarating matches can really get your heart going; unfortunately, they can also permanently silence its beating.
Robert Kloner, a cardiologist at the University of Southern California, analysed cardiac deaths in Los Angeles county during two Super Bowls: an intense 1980 match in which the much-loved Los Angeles Rams lost to the Pittsburgh Steelers at the Rose Bowl in Pasadena, California and a more predictable 1984 game in which the Los Angeles Raiders gained an early lead and defeated the Washington Redskins in Tampa, Florida.
Kloner and his colleagues found that deaths due to heart failure in Los Angeles rose during the 1980 Super Bowl for both men and women - and especially for people over 65. Conversely, cardiac deaths decreased during the 1984 Super Bowl. The 1980 loss, Kloner reasons, literally broke the hearts of some fans in LA, especially if they had underlying heart conditions. But 1984's unsurprising victory hardly tugged anyone's heartstrings.
"There are many well-known chronic risk factors for cardiac deaths - smoking, obesity, diabetes," Kloner explains, "but there is also evidence for acute risk factors that trigger a cardiac event."
Earthquakes are one good example of acute risk factors for cardiac deaths, Kloner says, and he is interested in discovering other heart-stopping global phenomena. He decided to investigate the Super Bowl after reading a 2008 New England Journal of Medicine study that found alarming rates of cardiac emergencies in Germany during the World Cup.
"Fans develop an emotional attachment to their favourite team, which becomes like part of the family," Kloner says. "Think about how a parent feels when watching a child in a school sporting event: if junior has a bad game, or makes a bad play, or the play is intense, it can lead to emotional stress. The same thing can occur in the avid fan supporting their beloved team."
This is perhaps the most intriguing aspect of Kloner's study. When we think of sports-related injuries and health risks, we typically think of concussions, dislocated shoulders and torn anterior cruciate ligaments (ACLs). But patterns of cardiac deaths in sports fans raise to the surface a latent and overlooked concern: how watching sports can curse the body by enchanting the mind. An avid sports fan has a heart that beats not for a single individual, but for an entire team - a strain that is sometimes too great to sustain.
Journal reference: Clinical cardiology, DOI:10.1002/clc.20876