Ben Ahmed Habib, Allouche Mohamed, Zoghlami Bile, Shimi Maha, Razgallah Rabii, Baccar Hedi, Hamdoun Moncef
Tunis Med. 2014 Aug-Sep;92(8-9):527-30.
The sudden cardiac death remains a major public health problem. Several studies have reported weekly variation of this dramatic event.
The aim of this work is to determine the day-of-week variability in sudden cardiac death in northen Tunisia.
We prospectively collected clinical, socio demographic and autopsic data of victims of sudden cardiac death occurring in the northern Tunisia between october 1 st ,2010 and september 30,2012.
The study population included 392 men and 108 women with a mean age of 52.27 + / - 15.8 years. Three quarters of the victims was sedentary, 57.9% were smoker and a family history of sudden death was identified in 9.8% of cases. The vast majority of deaths had occurred either in a public place (41.4%) or at home (36.6%). Ischemic heart disease was the leading cause of death with 267 cases (53.4%); however a negative autopsy was found in 13.9% of victims. The highest sudden death occurrence was on Sundays (17.8%) and the lowest on Mondays (11.4% p: 0.01).The same weekly variation was noted among both men and women , and also in victims > 60 years, a minimum of events occurred on Mondays (11.6%) and a maximum on Sundays (21.9%). In addition, we found the same peak of mortality on Sunday (18.8%) in young adults and the nadir on Monday (10.3%).
The present study demonstrates marked variation in the occurrence of sudden cardiac death in the northern Tunisia with peak on Sundays and nadir on Mondays. No age or gender- related differences were found in weekly variation of sudden death.
心源性猝死仍然是一个重大的公共卫生问题。多项研究报告了这一重大事件的每周变化情况。
本研究旨在确定突尼斯北部心源性猝死的周内变化情况。
我们前瞻性地收集了2010年10月1日至2012年9月30日期间在突尼斯北部发生的心源性猝死受害者的临床、社会人口统计学和尸检数据。
研究人群包括392名男性和108名女性，平均年龄为52.27±15.8岁。四分之三的受害者久坐不动，57.9%为吸烟者，9.8%的病例有猝死家族史。绝大多数死亡发生在公共场所（41.4%）或家中（36.6%）。缺血性心脏病是主要死因，有267例（53.4%）；然而，13.9%的受害者尸检结果为阴性。猝死发生率最高的是在周日（17.8%），最低的是在周一（11.4%，p=0.01）。男性和女性以及60岁以上的受害者中都观察到了相同的每周变化，周一的事件最少（11.6%），周日最多（21.9%）。此外，我们发现年轻人中周日的死亡率峰值（18.8%）和周一的最低点（10.3%）相同。
本研究表明突尼斯北部心源性猝死的发生率有明显变化，周日达到峰值，周一为最低点。在猝死的每周变化中未发现与年龄或性别相关的差异。
