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[Sudden out of hospital cardiac death in children, adolescents, and subjects younger than 45 years].

https://arctichealth.org/en/permalink/ahliterature146768
Source
Kardiologiia. 2009;49(11):33-8
Publication Type
Article
Date
2009
Author
L M Makarov
Iu A Solokhin
Source
Kardiologiia. 2009;49(11):33-8
Date
2009
Language
Russian
Publication Type
Article
Keywords
Adolescent
Adult
Age Distribution
Age Factors
Cardiomyopathies - mortality
Child
Child, Preschool
Death, Sudden, Cardiac - epidemiology
Female
Heart Defects, Congenital - mortality
Humans
Incidence
Infant
Male
Middle Aged
Moscow - epidemiology
Myocardial Ischemia - mortality
Outpatients
Retrospective Studies
Young Adult
Abstract
Aim of this study was determination of incidence and structure of sudden out of hospital cardiac death (SCD) in subjects aged 1-45 years in Moscow. We analyzed rate and structure of SD among persons who had succumbed in 2005-2007 in several districts of Moscow with population of 2,502,836. Of the total number of 19,557 autopsies 7702 (39.4% or 92/100 000/year) and 1265 (6.5%, 19.4% of autopsies in this age group, or 16.8/100000/year) in all age groups and in the age 1-45 years, respectively, were performed because of SCD. In most cases (44%) age at SCD was 41-45 years, only in 1% of cases it was less than 18 years. Eighty two percent of autopsied SD victims were men. Most frequent postmortem diagnosis was "cardiomyopathy" (69% overall, 80-96% in the age 19-35 years) established on the basis of detection of both specific and nonspecific changes in the myocardium. In 25% of SD cases in the age group before 18 years congenital heart disease was found. After 35 years rose portion of diseases of ischemic nature (22-32%). Percentages of hypertensive disease and other diseases among all diagnoses were 7 and 1, respectively. Beginning with 19 years in large percentage of cases presence of alcohol in blood was detected. This percentage was especially high in the age group 19-25 years (66.6%). SCD of most persons aged 20-45 years was registered at home, while in 50% of younger persons it occurred outside home often during physical effort. Rate of SCD, its circumstances and structure elicited in this study might serve as basis for elaboration of the system of early detection of groups of risk and prevention of SD in young age.
PubMed ID
20001980 View in PubMed
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[Women--doctors of medical science, professors, leading the forensic medical faculty of higher institutes of learning in Russia and the USSR in the XX century].

https://arctichealth.org/en/permalink/ahliterature184683
Source
Sud Med Ekspert. 2003 May-Jun;46(3):48-9
Publication Type
Article