| Population-based analysis of sudden cardiac death with and without left ventricular systolic dysfunction: two-year findings from the Oregon Sudden Unexpected Death Study. | |
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MedLine Citation:
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PMID: 16545646 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: We sought to evaluate the contribution of left ventricular (LV) dysfunction toward occurrence of sudden cardiac death (SCD) in the general population, and to identify distinguishing characteristics of SCD in the absence of LV dysfunction. BACKGROUND: Patients who manifest warning symptoms and signs are more likely to undergo evaluation before SCD. Although prevalence of LV dysfunction in this subgroup may overestimate the prevalence in overall SCD, this is the only means of assessment in the general population. METHODS: All cases of SCD in Multnomah County, Oregon (population 660,486; 2002 to 2004) were prospectively ascertained in the ongoing Oregon Sudden Unexpected Death Study. We retrospectively assessed LV ejection fraction (LVEF) among subjects who underwent evaluation of LV function before SCD (normal: > or =55%; mildly to moderately reduced: 36% to 54%; and severely reduced: < or =35%). Of a total of 714 SCD cases (annual incidence 54 per 100,000), LV function was assessed in 121 (17%). RESULTS: The LVEF was severely reduced in 36 patients (30%), mildly to moderately reduced in 27 (22%), and normal in 58 (48%). Patients with normal LVEF were distinguishable by younger age (66 +/- 15 years vs. 74 +/- 10 years; p = 0.001), higher proportion of females (47% vs. 27%; p = 0.025), higher prevalence of seizure disorder (14% vs. 0%; p = 0.002), and lower prevalence of established coronary artery disease (50% vs. 81%; p < 0.001). CONCLUSIONS: In this community-wide study, only one-third of the evaluated SCD cases had severe LV dysfunction meeting current criteria for prophylactic cardioverter-defibrillator implantation. The SCD cases with normal LV function had several distinguishing clinical characteristics. These findings support the aggressive development of alternative screening methods to enhance identification of patients at risk. |
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Authors:
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Eric C Stecker; Catherine Vickers; Justin Waltz; Carmen Socoteanu; Benjamin T John; Ronald Mariani; John H McAnulty; Karen Gunson; Jonathan Jui; Sumeet S Chugh |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. Date: 2006-02-23 |
Journal Detail:
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Title: Journal of the American College of Cardiology Volume: 47 ISSN: 1558-3597 ISO Abbreviation: J. Am. Coll. Cardiol. Publication Date: 2006 Mar |
Date Detail:
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Created Date: 2006-03-20 Completed Date: 2006-05-16 Revised Date: 2011-12-06 |
Medline Journal Info:
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Nlm Unique ID: 8301365 Medline TA: J Am Coll Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 1161-6 Citation Subset: AIM; IM |
Affiliation:
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Heart Rhythm Research Laboratory, Division of Cardiology, Oregon Health and Science University, Portland, Oregon. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Death, Sudden, Cardiac / etiology* Female Humans Male Prospective Studies Time Factors Ventricular Dysfunction, Left / complications* |
| Grant Support | |
ID/Acronym/Agency:
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5 M01 RR000334/RR/NCRR NIH HHS; HL-04-001/HL/NHLBI NIH HHS; TS-0660/TS/ATSDR CDC HHS |
| Comments/Corrections | |
Comment In:
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J Am Coll Cardiol. 2006 Mar 21;47(6):1167-8
[PMID:
16545647
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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