Arrhythmias & electrophysiologyCohort study
The impact of modifiable risk factors in the association between socioeconomic status and sudden cardiac death in a prospective cohort study: equal access to healthcare, unequal outcome
- Prospective cohort study
- mediation analysis
Authors' conclusion
We observed an inverse association between both income and education and the risk of SCD, which was only in part explained by common cardiac risk factors
Study context
- Population
- Participants in the Copenhagen City Heart Study, followed 1993–2016
- Participants
- 10,006 participants · 822 sudden cardiac death (SCDs)
- Exposure
- Low vs high income and education level
- Outcome
- Incidence of SCD
- Follow-up
- 24 years
Main finding
As reported in the abstract
SCD
Incidence rate ratio (95% CI)
Elementary school vs Long education
2.48(1.86–3.31)
Low income vs High income
2.34(1.85–2.96)
Observational data: associations, not effects.
Further findings
Mediation of education–SCD association by smoking, physical activity and BMI
- Combined mediating effect, share of risk differences
- ∼20%
Original publication
The impact of modifiable risk factors in the association between socioeconomic status and sudden cardiac death in a prospective cohort study: equal access to healthcare, unequal outcome. Eur J Prev Cardiol. Published 21 March 2023. doi:10.1093/eurjpc/zwad086
Summarised from the published abstract; every number is checked against it