突发意想不到的心脏病死亡的每周一天变化
Hanna Latola1, Severi M Mattila1, Lasse Pakanen2,3
1Research Unit of Biomedicine and Internal Medicine, Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.
突然心脏死亡 (SCD) 在周末,特别是周六更频繁地发生. 在芬兰的一项大型研究中观察到这种SCD发病率的七分钟变化,突出了心脏事件中的潜在时间模式.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 意想不到的突然心脏死亡 (SCD) 发生率的每周一天 (七天) 变化一直是争论的主题.
- 了解SCD的时间模式对于公共卫生干预和资源分配至关重要.
研究的目的:
- 为了调查不同星期的不同天意外心脏突然死亡 (SCD) 的发生率.
- 为了确定是否存在SCD发生的统计学上显著的七天变化.
主要方法:
- 分析了来自芬兰北部的5869名心脏突发死亡 (SCD) 患者的连续系列 (FINGESTURE研究).
- 在1998年至2017年期间,对所有意想不到的突然死亡受害者进行了医疗法律解剖.
- 发病率是按每年每10万居民的每周一天计算的.
主要成果:
- 意想不到的SCD的平均发病率在周末 (周五-周日) 与平日 (周一-周四) 相比显著更高 (8.54对7.22每10万居民/年,p<0.001).
- SCD的高峰发病率发生在周六.
- 这种模式在SCD的不同性别和病因 (缺血病与非缺血病) 中保持一致.
结论:
- 意想不到的突然心脏病死亡 (SCD) 发生率在周末显著增加,周六达到峰值.
- 这些发现表明,突然心脏死亡发生时,可能存在七节节律.
更多相关视频
08:28Methods for ECG Evaluation of Indicators of Cardiac Risk, and Susceptibility to Aconitine-induced Arrhythmias in Rats Following Status Epilepticus
Published on: April 5, 2011
11:54Simultaneous Video-EEG-ECG Monitoring to Identify Neurocardiac Dysfunction in Mouse Models of Epilepsy
Published on: January 29, 2018
相关概念视频
Disturbances in Heart Rhythm
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Factors Influencing Heart Rate
Let us explore the significant factors affecting heart rate, including age, body temperature, posture, acute pain, chemical influences,...
Mechanism of Cardiac Arrhythmias
Cardiac Output I:Effect of Heart Rate on Cardiac Output
Cardiac output (CO) refers to the total amount of blood ejected by one of the ventricles in liters per minute (L/min). In a resting adult, CO ranges from 5 to 6 L/min, adjusting according to the body's metabolic requirements.
Effect of Heart Rate on Cardiac Output
Cardiac output adapts to metabolic demands during stress, physical activity, or illness. The autonomic nervous system regulates heart rate via the sinoatrial node. The parasympathetic nervous system decreases heart...
Imbalances in Cardiac Output
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
Correlation between ECG and Cardiac Cycle
A cardiac action potential originates in the SA node and spreads throughout the atria and the AV node in approximately 0.03 seconds. This results in the P wave in an ECG and triggers atrial contraction. The action potential is then briefly slowed at the AV node, allowing the atria to contract and fill the ventricles with blood before...
