Incidence of sudden cardiac arrest and sudden cardiac death after unstable angina pectoris and myocardial infarction
Authors' conclusion
SCAs accounted for less than a third of all deaths due to cardiovascular causes among patients with previous ACS. Incidence of SCA is highest among STEMI and NSTEMI patients. After the hospital discharge, most of SCAs happen to NSTEMI patients.
Study context
- Population
- Consecutive patients undergoing invasive evaluation for acute coronary syndrome (ACS) at Tays Heart Hospital, 2007–2018
- Participants
- 10,316 patients
- Exposure
- STEMI vs NSTEMI vs Unstable angina
- Outcome
- Incidence of SCA (including SCD)
- Follow-up
- 12 years
Methodological detailsconsecutive patients, single-centre, Data from hospital electronic health records, death certificates and full-disclosure review of written patient records
- Consecutive patients
- Single-centre
- Data from hospital electronic health records, death certificates and full-disclosure review of written patient records
Main finding
As reported in the abstract
Cumulative incidence of SCA (including SCD) and of SCD · 12 years
Cumulative incidence of sudden cardiac arrests (SCA) (including sudden cardiac deaths (SCD))
9.8%
0.8% annually
Cumulative incidence of SCD
5.4%
0.5% annually
Observational data: associations, not effects.
Further findings
Cumulative incidence of SCA by ACS type · 12 years
SCA share of CV deaths
- SCAs accounted for this share of all CV deaths (n = 528/1,732)
- 30.5%
SCAs by implantable cardioverter defibrillator (ICD) status and recurrent CAD hospitalisation
- SCAs in patients without ICD
- 95.6%
- SCAs in patients with no recurrent hospitalisation for CAD
- 89.1%
Original publication
Incidence of sudden cardiac arrest and sudden cardiac death after unstable angina pectoris and myocardial infarction. Am Heart J. Published 13 November 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →