Risk Factors for Sudden Coronary Death in the United States
Autor: | Luis G. Escobedo, Carl J. Caspersen |
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Rok vydání: | 1997 |
Předmět: |
Adult
Male medicine.medical_specialty Epidemiology Coronary Disease Sudden death Cohort Studies Diabetes Complications Age Distribution Risk Factors Internal medicine Confidence Intervals Odds Ratio medicine Humans Sex Distribution Risk factor Survival rate Aged Aged 80 and over business.industry Incidence Mortality rate Smoking Case-control study Odds ratio Middle Aged Health Surveys United States Survival Rate Death Sudden Cardiac Logistic Models Case-Control Studies Hypertension Cardiology Female business Cohort study |
Zdroj: | Epidemiology. 8:175-180 |
ISSN: | 1044-3983 |
DOI: | 10.1097/00001648-199703000-00009 |
Popis: | We assessed risk factors for sudden coronary death among persons without a history of coronary heart disease (unexpected sudden coronary death) and persons with a history of coronary heart disease (sudden coronary heart disease death). We analyzed national data to calculate death rates and odds ratios for both types of sudden coronary death. Among modifiable factors that we examined, only cigarette smoking increased risk for unexpected sudden coronary death [odds ratio (OR) = 1.8; 95% confidence interval (CI) = 1.2-2.7]. Diabetes mellitus (OR = 3.8; 95% CI = 2.5-5.8 for women), cigarette smoking (OR = 1.5; 95% CI = 1.0-2.1), and hypertension (OR = 1.4; 95% CI = 1.1-1.9) increased the risk for sudden coronary heart disease death. Etiologic factors for sudden death appear to differ depending on the presence or absence of coronary disease. With preexisting coronary disease, factors associated with chronic coronary disease may elevate sudden death risk; without coronary disease, factors that provoke ventricular arrhythmias may trigger sudden death. |
Databáze: | OpenAIRE |
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