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Incidence of sudden cardiac death in Germany: results from an emergency medical service registry in Lower Saxony

AIMS: Sudden cardiac death (SCD) is among the most common causes of death in western countries including Germany. Whereas risk stratification and primary prevention is still insufficient, we also lack accurate incidence estimates. Current estimates vary widely (18.6–128/100 000/year), but data on SC...

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Autores principales: Martens, Eimo, Sinner, Moritz F., Siebermair, Johannes, Raufhake, Carsten, Beckmann, Britt M., Veith, Stefan, Düvel, Dieter, Steinbeck, Gerhard, Kääb, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241885/
https://www.ncbi.nlm.nih.gov/pubmed/25061228
http://dx.doi.org/10.1093/europace/euu153
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author Martens, Eimo
Sinner, Moritz F.
Siebermair, Johannes
Raufhake, Carsten
Beckmann, Britt M.
Veith, Stefan
Düvel, Dieter
Steinbeck, Gerhard
Kääb, Stefan
author_facet Martens, Eimo
Sinner, Moritz F.
Siebermair, Johannes
Raufhake, Carsten
Beckmann, Britt M.
Veith, Stefan
Düvel, Dieter
Steinbeck, Gerhard
Kääb, Stefan
author_sort Martens, Eimo
collection PubMed
description AIMS: Sudden cardiac death (SCD) is among the most common causes of death in western countries including Germany. Whereas risk stratification and primary prevention is still insufficient, we also lack accurate incidence estimates. Current estimates vary widely (18.6–128/100 000/year), but data on SCD incidence in Germany are missing. Depending on SCD definitions, death needs to occur between 1 and 24 h after the onset of symptoms. METHODS AND RESULTS: In the district of Aurich (190 000 inhabitants, Lower Saxony, Germany), emergency medical service (EMS) is provided by a district government operated single carrier and two hospitals. To evaluate all EMS calls in this district from 2002 to 2009, we obtained EMS protocols, medical records, and death certificates for data analysis and adjudication of SCD. We defined SCD according to the definition of the World Health Organization, considering patients with cardiac arrest within ≤1 h after the onset of symptoms. We also required cardiopulmonary resuscitation being performed by EMS personnel. The overall mortality rate in the district of Aurich (1060/100 000/year) corresponded well with the average mortality rate in Germany (1030/100 000/year). During the observation period, we adjudicated 1212 SCD cases, equivalent to an annual rate of 151 SCD cases (81 cases/100 000/year). Rates remained remarkably stable over time, and affected a considerable number of individuals of working age (32/100 000/year). CONCLUSION: Consistent with prior reports, the SCD incidence in a district of Germany is substantial. Despite an elaborate EMS system and advanced medical care, SCD rates remain stable and necessitate improved, individualized risk stratification.
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spelling pubmed-42418852014-11-25 Incidence of sudden cardiac death in Germany: results from an emergency medical service registry in Lower Saxony Martens, Eimo Sinner, Moritz F. Siebermair, Johannes Raufhake, Carsten Beckmann, Britt M. Veith, Stefan Düvel, Dieter Steinbeck, Gerhard Kääb, Stefan Europace CLINICAL RESEARCH AIMS: Sudden cardiac death (SCD) is among the most common causes of death in western countries including Germany. Whereas risk stratification and primary prevention is still insufficient, we also lack accurate incidence estimates. Current estimates vary widely (18.6–128/100 000/year), but data on SCD incidence in Germany are missing. Depending on SCD definitions, death needs to occur between 1 and 24 h after the onset of symptoms. METHODS AND RESULTS: In the district of Aurich (190 000 inhabitants, Lower Saxony, Germany), emergency medical service (EMS) is provided by a district government operated single carrier and two hospitals. To evaluate all EMS calls in this district from 2002 to 2009, we obtained EMS protocols, medical records, and death certificates for data analysis and adjudication of SCD. We defined SCD according to the definition of the World Health Organization, considering patients with cardiac arrest within ≤1 h after the onset of symptoms. We also required cardiopulmonary resuscitation being performed by EMS personnel. The overall mortality rate in the district of Aurich (1060/100 000/year) corresponded well with the average mortality rate in Germany (1030/100 000/year). During the observation period, we adjudicated 1212 SCD cases, equivalent to an annual rate of 151 SCD cases (81 cases/100 000/year). Rates remained remarkably stable over time, and affected a considerable number of individuals of working age (32/100 000/year). CONCLUSION: Consistent with prior reports, the SCD incidence in a district of Germany is substantial. Despite an elaborate EMS system and advanced medical care, SCD rates remain stable and necessitate improved, individualized risk stratification. Oxford University Press 2014-12 2014-07-24 /pmc/articles/PMC4241885/ /pubmed/25061228 http://dx.doi.org/10.1093/europace/euu153 Text en © The Author 2014. Published by Oxford University Press on behalf of the European Society of Cardiology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle CLINICAL RESEARCH
Martens, Eimo
Sinner, Moritz F.
Siebermair, Johannes
Raufhake, Carsten
Beckmann, Britt M.
Veith, Stefan
Düvel, Dieter
Steinbeck, Gerhard
Kääb, Stefan
Incidence of sudden cardiac death in Germany: results from an emergency medical service registry in Lower Saxony
title Incidence of sudden cardiac death in Germany: results from an emergency medical service registry in Lower Saxony
title_full Incidence of sudden cardiac death in Germany: results from an emergency medical service registry in Lower Saxony
title_fullStr Incidence of sudden cardiac death in Germany: results from an emergency medical service registry in Lower Saxony
title_full_unstemmed Incidence of sudden cardiac death in Germany: results from an emergency medical service registry in Lower Saxony
title_short Incidence of sudden cardiac death in Germany: results from an emergency medical service registry in Lower Saxony
title_sort incidence of sudden cardiac death in germany: results from an emergency medical service registry in lower saxony
topic CLINICAL RESEARCH
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241885/
https://www.ncbi.nlm.nih.gov/pubmed/25061228
http://dx.doi.org/10.1093/europace/euu153
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