Wennerblom B, Holmberg S
Eur Heart J. 1984 Apr;5(4):266-74. doi: 10.1093/oxfordjournals.eurheartj.a061651.
For one year (1 September 1975-31 August 1976) an analysis was made of all deaths occurring outside hospital in the Gothenburg area (population 480 000). The total number of deaths was 1309. It was found that 675 (52%) of these deaths were caused by ischaemic heart disease (IHD), while 54 (4%) were caused by other heart diseases. The circumstances preceding death were analyzed in 363 cases representing all autopsied subjects under 75 years of age who died from IHD (autopsy rate 95%). Of these, 68% died at home, 4% during transport to hospital, and 4% at work. 214 (59%) of the deaths were witnessed, and in 189 (52%) cases, an ambulance had been called. 111 (52% died within 1 min of the onset of symptoms. 23 subject were in ventricular fibrillation on arrival at hospital. 11 of them were resuscitated, but only 3 were discharged alive. Additionally 12 of the non-autopsied subjects who died from IHD and 11 who died from other heart diseases had been witnessed and an ambulance had been called. In summary, 212 subjects who died outside hospital from heart disease in one year in Gothenburg died witnessed, and an ambulance was called. This should be the maximum annual number of cases of cardiac arrest outside hospital which it is possible to reach with a mobile coronary care organization within the time limit for effective resuscitation attempts.
在一年时间里（1975年9月1日至1976年8月31日），对哥德堡地区（人口48万）发生的所有院外死亡病例进行了分析。死亡总数为1309例。结果发现，其中675例（52%）死于缺血性心脏病（IHD），而54例（4%）死于其他心脏病。对363例代表所有75岁以下死于IHD的尸检对象的死亡前情况进行了分析（尸检率95%）。其中，68%在家中死亡，4%在送往医院途中死亡，4%在工作时死亡。214例（59%）死亡有目击者在场，189例（52%）病例呼叫了救护车。111例（52%）在症状出现后1分钟内死亡。23名患者到达医院时处于心室颤动状态。其中11人被复苏，但只有3人存活出院。此外，12例死于IHD的非尸检对象和11例死于其他心脏病的对象有目击者在场且呼叫了救护车。总之，哥德堡一年内212例院外死于心脏病的患者死亡时有目击者在场且呼叫了救护车。这应该是移动冠心病护理组织在有效复苏尝试的时间限制内能够达到的院外心脏骤停的最高年病例数。
