PMID- 27326036
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160621
LR  - 20201001
IS  - 1759-1104 (Print)
IS  - 1759-1104 (Electronic)
IS  - 1759-1104 (Linking)
VI  - 4
IP  - 1
DP  - 2012
TI  - Sudden cardiac death after acute ST elevation myocardial infarction: insight from 
      a developing country.
PG  - 83-9
LID - 10.1136/heartasia-2012-010114 [doi]
AB  - BACKGROUND: There is no data concerning sudden cardiac death (SCD) following 
      acute ST elevation myocardial infarction (STEMI) in India. We assessed the 
      incidence and factors influencing SCD following STEMI. METHODS: Patients with 
      STEMI admitted in our hospital from 2006 to 2009 were prospectively entered into 
      a database. In the period 2010-2011, patients or their kin were periodically 
      contacted and administered a questionnaire to ascertain their survival, and mode 
      of death if applicable. RESULTS: Study population comprised of 929 patients with 
      STEMI (mean age 55+/-17 years) having a mean follow-up of 41+/-16 months. The total 
      number of deaths was 159, of which 78 were SCD (mean age 62.2+/-10 years). The 
      cumulative incidence of total deaths and SCD at 1 month, 1, 2, 3 years and at 
      conclusion of the study was 10.1%, 13.2%, 14.6%, 15.8%, 17.3% and 4.9%, 6.5%, 
      8.0%, 8.9% and 9.7%, respectively. The temporal distribution of SCD was 53.9% at 
      first month, 19.2% at 1 month to 1 year, 15.4% in 1-2 years, 7.6% in 2-3 years 
      and 3.8% beyond 3 years. Comparison between SCD and survivor cohorts by 
      multivariate analysis showed five variables were found to be associated with SCD 
      (age p=0.0163, female gender p=0.0042, severe LV dysfunction p=0.0292, absence of 
      both reperfusion and revascularisation p=0.0373 and lack of compliance with 
      medications p <0.0001). CONCLUSIONS: SCD following STEMI accounts for about half 
      of the total deaths. It involves younger population and most of these occur 
      within the first month. This data has relevance in prioritising healthcare 
      strategies in India.
FAU - Rao, Hygriv B
AU  - Rao HB
AD  - Department of Cardiology, CARE Hospitals, Hyderabad, Andhra Pradesh, India.
FAU - Sastry, B K S
AU  - Sastry BK
AD  - Department of Cardiology, CARE Hospitals, Hyderabad, Andhra Pradesh, India.
FAU - Korabathina, Radhika
AU  - Korabathina R
AD  - Department of Cardiology, CARE Hospitals, Hyderabad, Andhra Pradesh, India.
FAU - Raju, Krishnam P
AU  - Raju KP
AD  - Department of Cardiology, CARE Hospitals, Hyderabad, Andhra Pradesh, India.
LA  - eng
PT  - Journal Article
DEP - 20120101
PL  - England
TA  - Heart Asia
JT  - Heart Asia
JID - 101542742
PMC - PMC4898610
OTO - NOTNLM
OT  - India
OT  - Sudden cardiac death
OT  - arrhythmias
OT  - atrial fibrillation
OT  - developing country
OT  - epidemiology
OT  - mortality
OT  - myocardial infarction
EDAT- 2012/01/01 00:00
MHDA- 2012/01/01 00:01
PMCR- 2012/01/01
CRDT- 2016/06/22 06:00
PHST- 2012/05/06 00:00 [accepted]
PHST- 2016/06/22 06:00 [entrez]
PHST- 2012/01/01 00:00 [pubmed]
PHST- 2012/01/01 00:01 [medline]
PHST- 2012/01/01 00:00 [pmc-release]
AID - heartasia-2012-010114 [pii]
AID - 10.1136/heartasia-2012-010114 [doi]
PST - epublish
SO  - Heart Asia. 2012 Jan 1;4(1):83-9. doi: 10.1136/heartasia-2012-010114. eCollection 
      2012.