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Gender differences in sudden cardiac death in the young-a nationwide study
Hitherto, sudden cardiac death (SCD) in the young has been described with no distinction between genders. SCD occurs more often in men (SCDm) than women (SCDw), but this disparity is not understood and has not been investigated systematically in a nationwide setting. Our objective was to report gend...
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| Published in: | BMC cardiovascular disorders 2017-01, Vol.17 (1), p.19-19, Article 19 |
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| creator | Winkel, Bo Gregers Risgaard, Bjarke Bjune, Thea Jabbari, Reza Lynge, Thomas Hadberg Glinge, Charlotte Bundgaard, Henning Haunsø, Stig Tfelt-Hansen, Jacob |
| description | Hitherto, sudden cardiac death (SCD) in the young has been described with no distinction between genders. SCD occurs more often in men (SCDm) than women (SCDw), but this disparity is not understood and has not been investigated systematically in a nationwide setting. Our objective was to report gender differences in SCD in the young in a nationwide (Denmark) setting.
All deaths in persons aged 1-35 years nationwide in Denmark between 2000 and 2009 were included. Death certificates and autopsy reports were obtained. The extensive health care registries in Denmark were used to investigate any known disease prior to death. SCDw were compared to SCDm.
During the 10-year study period there were a total of 8756 deaths in 23.7 million person-years. In total, 635 deaths were SCD. SCDw constituted 205 deaths (32%). Women had a higher proportion of witnessed deaths (51 vs. 41%, p = 0.02) and died less often in a public place (16 vs. 26%, p = 0.01). Age at death, ratios of autopsies and sudden unexplained deaths, and comorbidities, did not differ. Causes of SCD were largely comparable between genders. The incidence rate of SCDw was half of that of SCDm (1.8 vs. 3.6 per 100,000 person-years, incidence rate ratio 2.0 (95% CI 1.7-2.4), p |
| doi_str_mv | 10.1186/s12872-016-0446-5 |
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All deaths in persons aged 1-35 years nationwide in Denmark between 2000 and 2009 were included. Death certificates and autopsy reports were obtained. The extensive health care registries in Denmark were used to investigate any known disease prior to death. SCDw were compared to SCDm.
During the 10-year study period there were a total of 8756 deaths in 23.7 million person-years. In total, 635 deaths were SCD. SCDw constituted 205 deaths (32%). Women had a higher proportion of witnessed deaths (51 vs. 41%, p = 0.02) and died less often in a public place (16 vs. 26%, p = 0.01). Age at death, ratios of autopsies and sudden unexplained deaths, and comorbidities, did not differ. Causes of SCD were largely comparable between genders. The incidence rate of SCDw was half of that of SCDm (1.8 vs. 3.6 per 100,000 person-years, incidence rate ratio 2.0 (95% CI 1.7-2.4), p < 0.01).
Incidence rate ratio of SCDm vs SCDw is 2. Young SCDw and SCDm are equally investigated, have comparable comorbidity, and causes of SCD. SCD due to potentially inherited cardiac diseases is less often in young women and could reflect a protection of female gender.</description><identifier>ISSN: 1471-2261</identifier><identifier>EISSN: 1471-2261</identifier><identifier>DOI: 10.1186/s12872-016-0446-5</identifier><identifier>PMID: 28061807</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adolescent ; Adult ; Age ; Age Distribution ; Analysis ; Cardiovascular disease ; Cause of Death ; Child ; Child, Preschool ; Comorbidity ; Death, Sudden, Cardiac - epidemiology ; Demographic aspects ; Denmark - epidemiology ; Ethics ; Female ; Forensic pathology ; Gender differences ; Hospitals ; Humans ; Incidence ; Infant ; Infant, Newborn ; Investigations ; Male ; Males ; Mens health ; Registries ; Retrospective Studies ; Risk Factors ; Sex Distribution ; Studies ; Sudden cardiac death ; Time Factors ; Womens health ; Young Adult ; Young adults</subject><ispartof>BMC cardiovascular disorders, 2017-01, Vol.17 (1), p.19-19, Article 19</ispartof><rights>COPYRIGHT 2017 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2017</rights><rights>The Author(s). 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c494t-a7bcacea5b9222fa6f92b690441ecdca67bc97d7d917226da4c18f13fe48490e3</citedby><cites>FETCH-LOGICAL-c494t-a7bcacea5b9222fa6f92b690441ecdca67bc97d7d917226da4c18f13fe48490e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5219679/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1863558564?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28061807$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Winkel, Bo Gregers</creatorcontrib><creatorcontrib>Risgaard, Bjarke</creatorcontrib><creatorcontrib>Bjune, Thea</creatorcontrib><creatorcontrib>Jabbari, Reza</creatorcontrib><creatorcontrib>Lynge, Thomas Hadberg</creatorcontrib><creatorcontrib>Glinge, Charlotte</creatorcontrib><creatorcontrib>Bundgaard, Henning</creatorcontrib><creatorcontrib>Haunsø, Stig</creatorcontrib><creatorcontrib>Tfelt-Hansen, Jacob</creatorcontrib><title>Gender differences in sudden cardiac death in the young-a nationwide study</title><title>BMC cardiovascular disorders</title><addtitle>BMC Cardiovasc Disord</addtitle><description>Hitherto, sudden cardiac death (SCD) in the young has been described with no distinction between genders. SCD occurs more often in men (SCDm) than women (SCDw), but this disparity is not understood and has not been investigated systematically in a nationwide setting. Our objective was to report gender differences in SCD in the young in a nationwide (Denmark) setting.
All deaths in persons aged 1-35 years nationwide in Denmark between 2000 and 2009 were included. Death certificates and autopsy reports were obtained. The extensive health care registries in Denmark were used to investigate any known disease prior to death. SCDw were compared to SCDm.
During the 10-year study period there were a total of 8756 deaths in 23.7 million person-years. In total, 635 deaths were SCD. SCDw constituted 205 deaths (32%). Women had a higher proportion of witnessed deaths (51 vs. 41%, p = 0.02) and died less often in a public place (16 vs. 26%, p = 0.01). Age at death, ratios of autopsies and sudden unexplained deaths, and comorbidities, did not differ. Causes of SCD were largely comparable between genders. The incidence rate of SCDw was half of that of SCDm (1.8 vs. 3.6 per 100,000 person-years, incidence rate ratio 2.0 (95% CI 1.7-2.4), p < 0.01).
Incidence rate ratio of SCDm vs SCDw is 2. Young SCDw and SCDm are equally investigated, have comparable comorbidity, and causes of SCD. SCD due to potentially inherited cardiac diseases is less often in young women and could reflect a protection of female gender.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Age Distribution</subject><subject>Analysis</subject><subject>Cardiovascular disease</subject><subject>Cause of Death</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Comorbidity</subject><subject>Death, Sudden, Cardiac - epidemiology</subject><subject>Demographic aspects</subject><subject>Denmark - epidemiology</subject><subject>Ethics</subject><subject>Female</subject><subject>Forensic pathology</subject><subject>Gender differences</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Investigations</subject><subject>Male</subject><subject>Males</subject><subject>Mens health</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sex Distribution</subject><subject>Studies</subject><subject>Sudden cardiac death</subject><subject>Time Factors</subject><subject>Womens health</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>1471-2261</issn><issn>1471-2261</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNptUk1PHSEUJcamfvUHuGkmcdPNWC7DwLAxMabaNibd1DXhweU9zDywMGPz_n15edaqaVhA7j3nwLkcQk6BngMM4nMBNkjWUhAt5Vy0_R45BC6hZUzA_ovzATkq5Z5SkANV78kBG6iAgcpD8v0Go8PcuOA9ZowWSxNiU2bnMDbWZBeMbRyaabWtTytsNmmOy9Y00Uwhxd_BYVOm2W1OyDtvxoIfnvZjcnf95efV1_b2x823q8vb1nLFp9bIhTUWTb9QjDFvhFdsIVQ1AGidNaL2lXTSKZD17c5wC4OHziMfuKLYHZOLne7DvFijsxinbEb9kMPa5I1OJujXnRhWepkedc9ACamqwKcngZx-zVgmvQ7F4jiaiGkuGoZe9IrVAVXo2RvofZpzrPYqSnR9X6H8H2ppRtQh-lTvtVtRfcmlkJwq3lXU-X9QdTlcB5si-lDrrwiwI9icSsnonz0C1dsA6F0AdA2A3gZA95Xz8eVwnhl_f7z7A16Rqtg</recordid><startdate>20170107</startdate><enddate>20170107</enddate><creator>Winkel, Bo Gregers</creator><creator>Risgaard, Bjarke</creator><creator>Bjune, Thea</creator><creator>Jabbari, Reza</creator><creator>Lynge, Thomas Hadberg</creator><creator>Glinge, Charlotte</creator><creator>Bundgaard, Henning</creator><creator>Haunsø, Stig</creator><creator>Tfelt-Hansen, Jacob</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170107</creationdate><title>Gender differences in sudden cardiac death in the young-a nationwide study</title><author>Winkel, Bo Gregers ; Risgaard, Bjarke ; Bjune, Thea ; Jabbari, Reza ; Lynge, Thomas Hadberg ; Glinge, Charlotte ; Bundgaard, Henning ; Haunsø, Stig ; Tfelt-Hansen, Jacob</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c494t-a7bcacea5b9222fa6f92b690441ecdca67bc97d7d917226da4c18f13fe48490e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Age Distribution</topic><topic>Analysis</topic><topic>Cardiovascular disease</topic><topic>Cause of Death</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Comorbidity</topic><topic>Death, Sudden, Cardiac - epidemiology</topic><topic>Demographic aspects</topic><topic>Denmark - epidemiology</topic><topic>Ethics</topic><topic>Female</topic><topic>Forensic pathology</topic><topic>Gender differences</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Investigations</topic><topic>Male</topic><topic>Males</topic><topic>Mens health</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sex Distribution</topic><topic>Studies</topic><topic>Sudden cardiac death</topic><topic>Time Factors</topic><topic>Womens health</topic><topic>Young Adult</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Winkel, Bo Gregers</creatorcontrib><creatorcontrib>Risgaard, Bjarke</creatorcontrib><creatorcontrib>Bjune, Thea</creatorcontrib><creatorcontrib>Jabbari, Reza</creatorcontrib><creatorcontrib>Lynge, Thomas Hadberg</creatorcontrib><creatorcontrib>Glinge, Charlotte</creatorcontrib><creatorcontrib>Bundgaard, Henning</creatorcontrib><creatorcontrib>Haunsø, Stig</creatorcontrib><creatorcontrib>Tfelt-Hansen, Jacob</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC cardiovascular disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Winkel, Bo Gregers</au><au>Risgaard, Bjarke</au><au>Bjune, Thea</au><au>Jabbari, Reza</au><au>Lynge, Thomas Hadberg</au><au>Glinge, Charlotte</au><au>Bundgaard, Henning</au><au>Haunsø, Stig</au><au>Tfelt-Hansen, Jacob</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gender differences in sudden cardiac death in the young-a nationwide study</atitle><jtitle>BMC cardiovascular disorders</jtitle><addtitle>BMC Cardiovasc Disord</addtitle><date>2017-01-07</date><risdate>2017</risdate><volume>17</volume><issue>1</issue><spage>19</spage><epage>19</epage><pages>19-19</pages><artnum>19</artnum><issn>1471-2261</issn><eissn>1471-2261</eissn><abstract>Hitherto, sudden cardiac death (SCD) in the young has been described with no distinction between genders. SCD occurs more often in men (SCDm) than women (SCDw), but this disparity is not understood and has not been investigated systematically in a nationwide setting. Our objective was to report gender differences in SCD in the young in a nationwide (Denmark) setting.
All deaths in persons aged 1-35 years nationwide in Denmark between 2000 and 2009 were included. Death certificates and autopsy reports were obtained. The extensive health care registries in Denmark were used to investigate any known disease prior to death. SCDw were compared to SCDm.
During the 10-year study period there were a total of 8756 deaths in 23.7 million person-years. In total, 635 deaths were SCD. SCDw constituted 205 deaths (32%). Women had a higher proportion of witnessed deaths (51 vs. 41%, p = 0.02) and died less often in a public place (16 vs. 26%, p = 0.01). Age at death, ratios of autopsies and sudden unexplained deaths, and comorbidities, did not differ. Causes of SCD were largely comparable between genders. The incidence rate of SCDw was half of that of SCDm (1.8 vs. 3.6 per 100,000 person-years, incidence rate ratio 2.0 (95% CI 1.7-2.4), p < 0.01).
Incidence rate ratio of SCDm vs SCDw is 2. Young SCDw and SCDm are equally investigated, have comparable comorbidity, and causes of SCD. SCD due to potentially inherited cardiac diseases is less often in young women and could reflect a protection of female gender.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>28061807</pmid><doi>10.1186/s12872-016-0446-5</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Age Age Distribution Analysis Cardiovascular disease Cause of Death Child Child, Preschool Comorbidity Death, Sudden, Cardiac - epidemiology Demographic aspects Denmark - epidemiology Ethics Female Forensic pathology Gender differences Hospitals Humans Incidence Infant Infant, Newborn Investigations Male Males Mens health Registries Retrospective Studies Risk Factors Sex Distribution Studies Sudden cardiac death Time Factors Womens health Young Adult Young adults |
| title | Gender differences in sudden cardiac death in the young-a nationwide study |
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