Pérez G, Marrugat J, Sunyer J, Sala J
Departament d'Epidemiologia i Salut Pública, Institut Municipal d'Investigació Mèdica, Barcelona.
Med Clin (Barc). 1992 Oct 24;99(13):489-92.
Data on sudden cardiac death in Spain in scarce. Mortality rates from sudden cardiac death occurring in six counties of Girona (including urban, industrial, and rural areas) between October 1987 and September 1988 were assessed.
From a total of 1,573 deaths in residents of the studied area aged between 25 and 74 years, 222 cases with a suggestive diagnosis of sudden cardiac death were selected. Data that confirmed the diagnosis and the time elapsed from the initial clinical symptoms and death were obtained by inquiring physicians who signed the death certificates, relatives or witnesses and by reviewing the hospital records.
Of a total of 137 deaths of cardiac origin, there were 107 cases of sudden cardiac death (which occurred within 24 hours after the onset of symptoms). The mortality rate of sudden death of cardiac origin was 37.5 per 100,000 inhabitants, that was significantly higher among men (67.8 in men and 15.4 in women). The mortality rate showed a statistically significant increase in the older age groups (28.4 per 100,000 inhabitants in the age group of 45-54 years, 69 in the group of 55-64 years, and 129.7 in the group of 65-74 years). Death occurred within the first hour after the onset of symptoms in 59 patients, 17 of whom were admitted to a hospital. Only 35% of the total 107 patients were treated in hospital.
Mortality rate of sudden cardiac death in Girona is low. Few patients dying from sudden cardiac death could have medical care.
西班牙心脏性猝死的数据稀缺。对1987年10月至1988年9月间赫罗纳六个县（包括城市、工业和农村地区）发生的心脏性猝死死亡率进行了评估。
在研究区域年龄介于25至74岁的居民的1573例死亡病例中，选择了222例疑似心脏性猝死病例。通过询问签署死亡证明的医生、亲属或证人并查阅医院记录，获取了确诊诊断以及从初始临床症状到死亡所经过的时间的数据。
在总共137例心脏源性死亡中，有107例心脏性猝死（症状发作后24小时内发生）。心脏源性猝死的死亡率为每10万居民37.5例，男性显著更高（男性为67.8例，女性为15.4例）。死亡率在老年组中呈现出统计学上的显著增加（45 - 54岁年龄组为每10万居民28.4例，55 - 64岁组为69例，65 - 74岁组为129.7例）。59例患者在症状发作后第一小时内死亡，其中17例入院治疗。在107例患者总数中，只有35%在医院接受了治疗。
赫罗纳心脏性猝死的死亡率较低。很少有心脏性猝死患者能够获得医疗救治。
