Document Detail


Demographic and temporal trends in out of hospital sudden cardiac death in Belfast.
MedLine Citation:
PMID:  15939727     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the epidemiology of out of hospital sudden cardiac death (OHSCD) in Belfast from 1 August 2003 to 31 July 2004.
DESIGN: Prospective examination of out of hospital cardiac arrests by using the Utstein style and necropsy reports. World Health Organization criteria were applied to determine the number of sudden cardiac deaths.
RESULTS: Of 300 OHSCDs, 197 (66%) in men, mean age (SD) 68 (14) years, 234 (78%) occurred at home. The emergency medical services (EMS) attended 279 (93%). Rhythm on EMS arrival was ventricular fibrillation (VF) in 75 (27%). The call to response interval (CRI) was mean (SD) 8 (3) minutes. Among patients attended by the EMS, 9.7% were resuscitated and 7.2% survived to leave hospital alive. The CRI for survivors was mean (SD) 5 (2) minutes and for non-survivors, 8 (3) minutes (p < 0.001). Ninety one (30%) OHSCDs were witnessed; of these 91 patients 48 (53%) had VF on EMS arrival. The survival rate for witnessed VF arrests was 20 of 48 (41.7%): all 20 survivors had VF as the presenting rhythm and CRI < or = 7 minutes. The European age standardised incidence for OHSCD was 122/100,000 (95% confidence interval 111 to 133) for men and 41/100,000 (95% confidence interval 36 to 46) for women.
CONCLUSION: Despite a 37% reduction in heart attack mortality in Ireland over the past 20 years, the incidence of OHSCD in Belfast has not fallen. In this study, 78% of OHSCDs occurred at home.
Authors:
M J Moore; B M Glover; C J McCann; N A Cromie; P Ferguson; D C Catney; F Kee; A A J Adgey
Related Documents :
20516307 - Small area variations in out-of-hospital cardiac arrest: does the neighborhood matter?
442947 - Arrhythmias during halothane anesthesia iv. the influence of a single dose of suxametho...
1103917 - Current practice of hypothermia in british cardiac surgery.
2189127 - Open-chest cardiac massage. the possible rebirth of an old procedure.
7295417 - Phasic abnormalities of left ventricular emptying in coronary artery disease.
15817097 - An autopsy case of brugada syndrome with significant lesions in the sinus node.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2005-06-06
Journal Detail:
Title:  Heart (British Cardiac Society)     Volume:  92     ISSN:  1468-201X     ISO Abbreviation:  Heart     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-02-27     Completed Date:  2006-04-10     Revised Date:  2013-06-09    
Medline Journal Info:
Nlm Unique ID:  9602087     Medline TA:  Heart     Country:  England    
Other Details:
Languages:  eng     Pagination:  311-5     Citation Subset:  AIM; IM    
Affiliation:
Regional Medical Cardiology Centre, Royal Victoria Hospital, Belfast, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Age Distribution
Aged
Aged, 80 and over
Autopsy
Coronary Disease / mortality
Death, Sudden, Cardiac / epidemiology*
Emergency Medical Services / organization & administration
Female
Humans
Incidence
Length of Stay
Male
Middle Aged
Mortality / trends
Northern Ireland
Prospective Studies
Residence Characteristics
Ventricular Dysfunction, Left / mortality
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Non-invasive evaluation of the myocardial substrate of cardiac amyloidosis by gadolinium cardiac mag...
Next Document:  Identification of patients with evolving coronary syndromes by using statistical models with data fr...