Day-of-the-week variation of sudden unexpected cardiac death

被引:0
|
作者
Latola, Hanna [1 ,2 ]
Mattila, Severi M. [1 ,2 ]
Pakanen, Lasse [3 ,4 ]
Holmstrom, Lauri [1 ,2 ]
Kauppila, Janna [1 ,2 ]
Ukkola, Olavi H. [1 ,2 ]
Junttila, M. Juhani [1 ,2 ]
Huikuri, Heikki, V [1 ,2 ]
Perkiomaki, Juha S. [1 ,2 ,5 ]
机构
[1] Univ Oulu, Med Res Ctr Oulu, Res Unit Biomed & Internal Med, Oulu, Finland
[2] Oulu Univ Hosp, Oulu, Finland
[3] Finnish Inst Hlth & Welf, Forens Med Unit, Oulu, Finland
[4] Univ Oulu, Med Res Ctr Oulu, Dept Forens Med, Res Unit Biomed & Internal Med, Oulu, Finland
[5] Univ Oulu, Med Res Ctr Oulu, Div Cardiol, POB 5000,Kajaanintie 50, FIN-90014 Oulu, Finland
关键词
Sudden cardiac death; Septadian variation; Medico-legal autopsy; THREATENING VENTRICULAR-ARRHYTHMIAS; SEASONAL-VARIATION; VICTIMS;
D O I
10.1016/j.ijcrp.2024.200246
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Background: There has been some controversy about the day -of -the -week (septadian) variation of unexpected sudden cardiac death (SCD). Methods: We evaluated the incidence of unexpected SCD on different days of the week in a consecutive series of 5869 SCD victims from Northern Finland [the FINGESTURE study (Finnish Genetic Study of Arrhythmic Events)]. As it is mandatory in Finland, a medico-legal autopsy was performed on all unexpected sudden death victims. The autopsies were performed between the years 1998-2017. Results: The mean incidence of unexpected SCD was higher at weekends (during the days from Friday to Sunday, peaking on Saturday) than during the days from Monday to Thursday (8.54 +/- 0.72 vs. 7.22 +/- 0.19 SCDs per day of the week per 100,000 inhabitants per year, p < 0.001). Regardless of sex or ischemic versus non-ischemic etiology of SCD, the distribution of the occurrence of SCD among the days of the week was similar compared with the whole SCD cohort. Conclusion: The incidence of unexpected SCD was highest at weekends (during the days from Friday to Sunday, peaking on Saturday).
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页数:6
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