Circulation. 2001;104:2158-2163
doi: 10.1161/hc4301.098254
doi: 10.1161/hc4301.098254
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(Circulation. 2001;104:2158.)
© 2001 American Heart Association, Inc.
Clinical Investigation and Reports |
Sudden Cardiac Death in the United States, 1989 to 1998
From the Cardiovascular Health Branch, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga.
Correspondence to Dr Zhi-Jie Zheng, Cardiovascular Health Branch, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Mailstop K-47, Atlanta, GA 30341-3717. E-mail zzheng{at}cdc.gov
Background— Sudden cardiac death (SCD) is a major clinical and public health problem.
Methods and Results— United States (US) vital statistics mortality data from 1989 to 1998 were analyzed. SCD is defined as deaths occurring out of the hospital or in the emergency room or as "dead on arrival" with an underlying cause of death reported as a cardiac disease (ICD-9 code 390 to 398, 402, or 404 to 429). Death rates were calculated for residents of the US aged 
35 years and standardized to the 2000 US population. Of 719 456 cardiac deaths among adults aged 35 years in 1998, 456 076 (63%) were defined as SCD. Among decedents aged 35 to 44 years, 74% of cardiac deaths were SCD. Of all SCDs in 1998, coronary heart disease (ICD-9 codes 410 to 414) was the underlying cause on 62% of death certificates. Death rates for SCD increased with age and were higher in men than women, although there was no difference at age 85 years. The black population had higher death rates for SCD than white, American Indian/Alaska Native, or Asian/Pacific Islander populations. The Hispanic population had lower death rates for SCD than the non-Hispanic population. From 1989 to 1998, SCD, as the proportion of all cardiac deaths, increased 12.4% (56.3% to 63.9%), and age-adjusted SCD rates declined 11.7% in men and 5.8% in women. During the same time, age-specific death rates for SCD increased 21% among women aged 35 to 44 years.
Conclusions— SCD remains an important public health problem in the US. The increase in death rates for SCD among younger women warrants additional investigation.
Key Words: death, sudden • heart diseases • mortality • epidemiology
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