Madsen J K
Br Heart J. 1985 Jul;54(1):27-32. doi: 10.1136/hrt.54.1.27.
A study was carried out to determine the incidence of sudden cardiac death in a well defined population in relation to prodromes, medical history, and previous medical consultations before sudden cardiac death. In Frederiksborg county, Denmark (population 332 000), of 1309 consecutive deaths in a six month period, 166 were due to sudden cardiac death; among men aged 50-69, 22% of all deaths were due to sudden cardiac death. The incidence per 1000 population per year by age group (less than 50, 50-69, greater than or equal to 70 years) was 0.19, 3.6, 11.4 in men and 0.12, 1.0, and 6.4 in women. The increasing incidence with age was significant. Ischaemic heart disease or hypertension had been recorded in 75% (124/166) of patients. Prodromes were reported in 54% (38/71) of patients with angina, and in 26% (25/95) without. Nineteen per cent (32/166) had neither prodromes nor overt heart disease. Forty six per cent of patients with known ischaemic heart disease and 24% without had consulted a doctor less than four weeks before death. Eight per cent had had a myocardial infarction within a year of death.
开展了一项研究，以确定在一个明确界定的人群中心脏性猝死的发生率与前驱症状、病史以及心脏性猝死前的就医情况之间的关系。在丹麦的腓特烈堡郡（人口33.2万），在六个月期间连续发生的1309例死亡中，166例归因于心脏性猝死；在50 - 69岁的男性中，所有死亡中有22%归因于心脏性猝死。按年龄组（小于50岁、50 - 69岁、大于或等于70岁）计算，男性每年每1000人口的发病率分别为0.19、3.6、11.4，女性分别为0.12、1.0和6.4。发病率随年龄增长而增加具有显著性。75%（124/166）的患者有缺血性心脏病或高血压记录。有胸痛症状的患者中54%（38/71）报告有前驱症状，无胸痛症状的患者中26%（25/95）报告有前驱症状。19%（32/166）既无前驱症状也无明显心脏病。已知有缺血性心脏病的患者中46%以及无缺血性心脏病的患者中24%在死亡前不到四周看过医生。8%的患者在死亡前一年内发生过心肌梗死。
