© 2001 by European Society of Cardiology
Copyright © 2001, European Society of Cardiology
Risk stratifiers for sudden cardiac death (SCD) in the community: primary prevention of SCD
aCardiac Arrhythmia Service, Cardiology Division, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA
bDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, 900 Commonwealth Ave East, Boston, MA 02215-1204, USA
* Corresponding author. Tel.: +1-617-732-8784; fax: +1-617-731-3843
Received 15 September 2000; accepted 4 December 2000
KEYWORDS Epidemiology; Sudden death; Ventricular arrhythmias
| The first 150 words of the full text of this article appear below. |
| 1 Introduction |
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There are currently 250,000 sudden cardiac deaths (SCD) in the United States every year constituting approximately 50% of all coronary heart disease (CHD) deaths [1]. Despite the decline in CHD mortality over the last decade, little proportionate change has been seen in the characteristics of CHD deaths. The majority of deaths are still sudden, occurring out-of-hospital and in the emergency room [2,3]. SCD is the most common cause of ischemic heart disease death in adults under the age of 65 years [2,3] and, therefore, is a major public health problem in the US and other industrialized countries [4,5]. Despite improved cardiopulmonary resuscitation, survival to hospital discharge is only 3–6% in unselected cases in major metropolitan centers. Even in cities with advanced EMS systems, such as in Seattle, USA, survival to hospital discharge still approaches only 30% among VF arrest victims, and is much lower for other types
| 2 Risk-stratifiers |
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2.1 Demographics: age, sex, and race
2.2 Traditional coronary heart disease risk factors
2.3 Electrocardiographic predictors
2.4 Multivariate risk indexes
2.5 Nutritional risk factors
2.6 Familial aggregation of SCD
2.7 Physical activity
2.8 Psychosocial determinants
| 3 Conclusion |
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