Effect of time on characterics and cause of death in unwitnessed, young sudden cardiac death cases
نویسندگان
چکیده
Abstract Introduction Around 50% of all sudden cardiac death (SCD) cases are unwitnessed. According to the World Health Organization's definition death, any unwitnessed is considered SCD if person was last seen alive and well within 24 hours with confirmed or suspected cause death. The length this timespan has been debated, as nature in less certain compared witnessed cases. effect time on composition group not previously assessed. Purpose This study aimed compare clinical characteristics causes among 1 hour hours. Methods nationwide, retrospective conducted Denmark included deceased persons aged 1–35 from 2000–2014. highly descriptive Danish certificates were utilized identify unexpected deaths. Through subsequent examination autopsy reports discharge summaries, we identified In addition, status since (1 vs. hours) recorded. Information comorbidities collected Registries. Results During 15-year period, 857 SCD. Of these, 353 (41%) witnessed, 441 (51%) unwitnessed; 62 (7%) had unknown status. Among SCD, 75 (17%) hour, remaining 366 (83%) Comparison revealed few but distinct differences. Cases male predominance (82% 65%, p=0.005). comorbidity burden similar, except for epilepsy which significantly more prevalent Circumstances regarding also differed groups: often awake at (72% 36%, p<0.001) when hours, they autopsied (61% 75%, p=0.02). cases, structural heart disease (58% 40%, both groups. most common proportion higher 24-hour (60% vs 42%, p=0.03). Arrhythmogenic cardiomyopathy thoracic aortic dissection (11% 3%, p=0.002 both). Conclusions nationwide Denmark, found few, marked differences between Male sex predominated rate lower. hour. Funding Acknowledgement Type funding sources: Public Institution(s). Main source(s): University Copenhagen
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ژورنال
عنوان ژورنال: European Heart Journal
سال: 2022
ISSN: ['2634-3916']
DOI: https://doi.org/10.1093/eurheartj/ehac544.384