A November 2024 study by Laval University published in the Canadian Journal of Cardiology, said,
"The unavailability of automated external defibrillators (AEDs) highlights a critical gap in emergency preparedness, especially in the context of five of the six activities with the highest death frequencies (cycling, hunting, jogging, hiking or walking, and swimming), which often occur in locations where AEDs are not readily accessible. As Québec is currently working on AED-related legislation, these results underscore the necessity for a comprehensive approach that extends beyond public places to ensure adequate (AED) coverage for activities in rural or remote areas, where the risks are pronounced and immediate access to emergency care is crucial."
"Reducing premature mortality is a priority for most clinicians, including cardiologists, general internists, and family physicians, but certainly for those involved in the care of athletes and active individuals. While placement of AEDs in remote settings (e.g., hunting or ski cabins) or in areas with high exercise traffic, as well as drone-delivered AED networks, are intriguing strategies, maintenance requirements and financial investments may limit feasibility. While still in development and undergoing regulatory approvals in many countries, ultraportable AEDs may offer advantages in the future. However, at present, there is no convincing evidence to support device performance or clinical, or safety outcomes, calling for further research on their effectiveness, particularly in sports and recreation-related settings, before considering widespread uptake."
"Our prior studies have shown that sudden death during sport is an extremely rare phenomenon. Diseases or conditions, for example, hypertrophic cardiomyopathy, which are often considered conditions likely to be associated with catastrophic events such as cardiac arrest, are much less dangerous than most people believe. We believe athletes should be permitted to make their own decisions about what is safe or not safe for them depending on their values and preferences, rather than be told what is ‘allowed’ versus ’not allowed.’ Overall, we think that engaging in vigorous and even competitive physical activity for most individuals with heart disease is relatively safe."