Table of Contents
Advances in Epidemiology
Volume 2015 (2015), Article ID 310878, 6 pages
http://dx.doi.org/10.1155/2015/310878
Research Article

Prevalence of Out-of-Hospital Sudden Cardiac Death in Moscow in 2005–2009

1Center for Syncope and Cardiac Arrhythmias, Russian Federal Medico Biology Agency, Central Children Clinical Hospital FMBA of Russia, 20 Moskvorechie Street, 115409 Moscow, Russia
22nd Thanatology Department of Forensic Medical Examination Bureau of the Health Care Department of Moscow, 3/2 Tarny proezd, 115516 Moscow, Russia

Received 26 February 2015; Revised 28 April 2015; Accepted 9 May 2015

Academic Editor: Peter N. Lee

Copyright © 2015 Leonid Makarov et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The sudden out-of-hospital cardiac death (SOHCD) in Russia is poorly investigated. The aim of study was to determine structure of SOHCD in Moscow. Methods. SOHCD were analyzed according to data for 2005–2009 from the 2nd Thanatology Department of Forensic Medicine of Moscow that serves 2502836 citizens in Moscow. Results. Prevalence of SOHCD was 49.1% of autopsies for all age groups and in 8.9% in the group aged 1–45 (22.3 cases per 100000 population/year). The frequency of SOHCD progressively increased with age. Most SOHCD victims (82%) were males. The diagnosis of cardiomyopathy was prevalent (80–96%) in the age 1–45 group; in 11–15 more 30% had normal heart; after 35 years of age, the role of ischaemic heart disease increased. In 67% of the people aged 19–25 SOHCD was associated with traces of alcohol (0.3–3.0 promile). Conclusion. The proportion of SOHCD in the Moscow population over all age groups has reached 123.2 per 100000 citizens annually. In the age group 1–45, the prevalence of SOHCD was 22.3 cases per 100000 citizens per year. The risk of SOHCD was greater in males. Possibly the role of alcohol in SOHCD in people older than 20 increased.