1989年から1998年の米国における突然の心臓発作による死 (1989年~1998年)
Z J Zheng1, J B Croft, W H Giles
1Cardiovascular Health Branch, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA. zzheng@cdc.gov
Circulation
|October 31, 2001
まとめ
心臓発作による突然死 (SCD) は,米国における重要な公衆衛生問題であり続けています. 全体的にSCDの発生率は減少したものの,若い女性の死亡率の懸念される増加はさらなる調査を必要としています.
科学分野:
- 心臓病学 心臓病学
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
背景:
- 心臓発作による突然死 (SCD) は,臨床実務と公衆衛生における大きな課題です.
- SCDの流行病学を理解することは,効果的な予防戦略の開発に不可欠です.
研究 の 目的:
- 1989年から1998年の米国における突然心臓死 (SCD) の傾向を分析する.
- SCDに関連した人口統計学的および病因学的要因を特定する.
主な方法:
- アメリカ合衆国生命統計の分析 1989年から1998年の死亡率データ
- SCDの定義は,心臓病の根本的な原因による病院外死亡または"到着時に死亡"に基づいています (ICD-9コード390-398,402,404-429).
- 35歳以上の成人の2000年の米国人口に対する死亡率の計算と標準化.
主要な成果:
- 1998年,35歳以上の成人における心臓病による死亡の63%はSCDとして定義され,冠動脈疾患は62%の根本的な原因であった.
- SCDの死亡率は年齢とともに増加し,男性では女性よりも高かった (85歳以上を除く).
- 黒人の人口は,他の人種/民族集団よりも高いSCD率を示し,ヒスパニック系の人口は低い割合を示した. 1989年から1998年にかけて,心疾患による死亡の割合としてSCDは増加し,年齢調整されたSCD率は全体的に減少したが,35~44歳の女性では著しく増加した.
結論:
- 心臓発作による突然死 (SCD) は,米国では依然として重大な公衆衛生上の問題である.
- 若年女性におけるSCD死亡率の上昇は,さらなる研究とターゲットを絞った介入を必要としています.
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