Sudden cardiac death during nighttime hours

Autor: Harpriya Chugh, Eric C. Stecker, Sumeet S. Chugh, Audrey Uy-Evanado, Kyndaron Reinier, Jonathan Jui, Archana Ramireddy
Rok vydání: 2021
Předmět:
Zdroj: Heart Rhythm
ISSN: 1547-5271
DOI: 10.1016/j.hrthm.2020.12.035
Popis: BACKGROUND: In the absence of apparent triggers, sudden cardiac death (SCD) during nighttime hours is a perplexing and devastating phenomenon. There are few published reports in the general population, with insufficient numbers to perform sex-specific analyses. Smaller studies of rare nocturnal SCD syndromes suggest a male predominance and implicate sleep-disordered breathing. OBJECTIVE: The purpose of this study was to identify mechanisms of nighttime SCD in the general population. METHODS: From the population-based Oregon Sudden Unexpected Death Study, we evaluated SCD cases that occurred in the community between 10 PM and 6 AM (nighttime) and compared them with daytime cases. Univariate comparisons were evaluated using Pearson χ(2) tests and independent samples t-tests. Logistic regression was used to further assess independent SCD risk. RESULTS: A total of 4126 SCD cases (66.2% Male, 33.8% Female) met criteria for analysis and 22.3% (n=918) occurred during nighttime hours. Women were more likely to present with nighttime SCD than men (25.4% vs. 20.6%, p
Databáze: OpenAIRE