Vedanthan Rajesh, Fuster Valentin, Fischer Avi
Zena and Michael A. Wiener Cardiovascular Institute, Mount Sinai School of Medicine, New York, NY, USA.
Zena and Michael A. Wiener Cardiovascular Institute, Mount Sinai School of Medicine, New York, NY, USA; Centro Nacional de Investigaciones Cardiovasculares, Madrid, Spain.
Glob Heart. 2012 Dec;7(4):353-60. doi: 10.1016/j.gheart.2012.10.002. Epub 2012 Dec 5.
Cardiovascular disease, and the incidence of sudden cardiac death (SCD), will increase significantly in low- and middle-income countries (LMIC). Thus, SCD threatens to become a global public health problem. We present a summary of the current research that has investigated the epidemiology of SCD in LMIC. Few studies of SCD in LMIC exist, and they are of variable methodological quality. Risk factors for SCD are described, taking into account recent global burden of disease and risk factor statistics. We describe 1 proposal for a community-based, prospective, multiple-source methodology for SCD monitoring and surveillance that can be implemented in LMIC. Further research into the epidemiology of SCD in LMIC, using standardized methodology, would allow investigators and policy makers to determine the regions, communities, and individuals most at need for SCD prevention. Focusing on SCD and its prevention in LMIC should be a priority for the global health community.
心血管疾病以及心源性猝死（SCD）的发生率在低收入和中等收入国家（LMIC）将显著上升。因此，SCD 有成为全球公共卫生问题的趋势。我们总结了当前有关 LMIC 地区 SCD 流行病学的研究。LMIC 地区关于 SCD 的研究很少，且方法学质量参差不齐。结合近期全球疾病负担和风险因素统计数据，对 SCD 的风险因素进行了描述。我们描述了一项基于社区的、前瞻性的、多源 SCD 监测和 surveillance 方法的提议，该方法可在 LMIC 地区实施。使用标准化方法对 LMIC 地区 SCD 流行病学进行进一步研究，将使研究人员和政策制定者能够确定最需要预防 SCD 的地区、社区和个人。关注 LMIC 地区的 SCD 及其预防应成为全球卫生界的优先事项。
