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CN 34-1304/RISSN 1674-3679

Volume 27 Issue 10
Oct.  2023
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Article Contents
ZHANG Lizhen, YIN Chun, LI Siyu, WU Xijiang, CHEN Yarong, SHEN Shujuan, WANG Zhongge, CHEN Ruirui, LI Jing, XU Lulu, HU Yujia, BAI Yana. A nested case-control study on the influencing factors of sudden cardiac death[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(10): 1153-1160. doi: 10.16462/j.cnki.zhjbkz.2023.10.007
Citation: ZHANG Lizhen, YIN Chun, LI Siyu, WU Xijiang, CHEN Yarong, SHEN Shujuan, WANG Zhongge, CHEN Ruirui, LI Jing, XU Lulu, HU Yujia, BAI Yana. A nested case-control study on the influencing factors of sudden cardiac death[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(10): 1153-1160. doi: 10.16462/j.cnki.zhjbkz.2023.10.007

A nested case-control study on the influencing factors of sudden cardiac death

doi: 10.16462/j.cnki.zhjbkz.2023.10.007
Funds:

Construction of the Whole-process Management System for Metabolic Diseases Among Staffs in Jinchuan Group Co Ltd Jinkezong2020-02

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  • Corresponding author: BAI Yana, E-mail: baiyana@lzu.edu.cn
  • Received Date: 2022-01-09
  • Rev Recd Date: 2022-06-22
  • Available Online: 2023-10-23
  • Publish Date: 2023-10-10
  •   Objective  To study the influencing factors of sudden cardiac death (SCD) based on the cohort population, and to provide basic data for the prevention and etiological research of SCD.  Methods  A nested case-control study was conducted, involving 52 newly diagnosed cases of SCD during three follow-up visits from 2011 to 2019 in Jinchang cohort. And 208 participants without SCD during the same period of follow-up were selected as the control group according to the matching method of age (±2 years) and 1∶4 individuals of the same sex. Conditional logistic regression model was used to analyze the influencing factors of SCD in Jinchang cohort, and the dose-response relationship of SCD risk was fitted by restricted cubic spline (RCS) models.  Results  Multivariate conditional logistic regression analysis showed that triglycerides (TG) (OR=2.94, 95% CI: 1.15-7.51), low density lipoprotein cholesterol (LDL-C) (OR=2.70, 95% CI: 1.18-6.22), diabetes (OR=5.59, 95% CI: 1.79-17.46) and abnormal electrocardiogram (OR=5.54, 95% CI: 2.11-14.56) were risk factors for SCD. Education level in high school and above (OR=0.33, 95% CI: 0.12-0.88) was a protective factor for SCD. RCS analysis showed that there was a positive linear dose-response relationship between fasting plasma glucose (FPG), TG and the risk of SCD (general trend P<0.05, non-linear P>0.05).  Conclusions  TG, LDL-C, diabetes, abnormal electrocardiogram and education level were related to the occurrence of SCD, and there was a dose-response relationship between FPG, TG and the risk of SCD.
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  • [1]
    范国辉, 张林峰. 心源性猝死的流行病学研究进展[J]. 中华流行病学杂志, 2015, 36(1): 87-89. DOI: 10.3760/cma.j.issn.0254-6450.2015.01.020.

    Fan GH, Zhang LF. The epidemiological research progress of sudden cardiac death[J]. Chin J Epidemiol, 2015, 36(1): 87-89. DOI: 10.3760/cma.j.issn.0254-6450.2015.01.020.
    [2]
    张道琴, 杨呈伟, 彭明亮, 等. 心源性猝死防治的最新研究进展[J]. 中国医药, 2020, 15(11): 1799-1803. DOI: 10.3760/j.issn.1673-4777.2020.11.034.

    Zhang DQ, Yang CW, Peng ML, et al. The latest research progress in the prevention and treatment of sudden cardiac death[J]. China Medicine, 2020, 15(11): 1799-1803. DOI: 10.3760/j.issn.1673-4777.2020.11.034.
    [3]
    Primorac D, Odak L, Perić V, et al. Sudden Cardiac Death-A New Insight Into Potentially Fatal Genetic Markers. [J]. Front Med (Lausanne), 2021, 8: 647412. DOI: 10.3389/fmed.2021.647412.
    [4]
    Shen CX, Ge JB. Epidemic of cardiovascular disease in China: Current perspective and prospects for the future[J]. Circulation, 2018, 138(4): 342-344. DOI: 10.1161/circulationaha.118.033484.
    [5]
    Wong CX, Brown A, Lau DH, et al. Epidemiology of sudden cardiac death: global and regional perspectives[J]. Heart Lung and Circu, 2019, 28(1): 6-14. DOI: 10.1016/j.hlc.2018.08.026.
    [6]
    Semsarian C, Ingles J, Wilde AAM. Sudden cardiac death in the young: the molecular autopsy and a practical approach to surviving relatives[J]. Eur Heart J, 2015, 36(21): 1290-1296. DOI: 10.1093/eurheartj/ehv063.
    [7]
    Albert CM, Chae CU, Grodstein F, et al. Prospective study of sudden cardiac death among women in the United States[J]. Circulation, 2003, 107(16): 2096-2101. DOI: 10.1161/01.CIR.0000065223.21530.11.
    [8]
    Bai YN, Yang AM, Pu HQ, et al. Cohort profile: the China metal-exposed workers cohort study (Jinchang cohort)[J]. Int J Epidemiol, 2017, 46(4): 1095-1096e. DOI: 10.1093/ije/dyw223.
    [9]
    刘力生. 中国高血压防治指南(2018年修订版)[J]. 中国心血管杂志, 2019, 24(1): 24-56. DOI: 10.3969/j.issn.1007-5410.2019.01.002.

    Liu LS. Chinese guidelines for the prevention and treatment of hypertension (2018 Revised Edition)[J]. Chin J Cardiovasc Med, 2019, 24(1): 24-56. DOI: 10.3969/j.issn.1007-5410.2019.01.002.
    [10]
    诸骏仁, 高润霖, 赵水平, 等. 中国成人血脂异常防治指南(2016年修订版)[J]. 中华心血管病杂志, 2016, 31(10): 833-853. DOI: 10.3969/j.issn.1000-3614.2016.10.001.

    Zhu JR, Gao RL, Zhao SP, et al. Guidelines for the prevention and treatment of dyslipidemia in Chinese adults (2016 revised edition)[J]. Chin J Cardiol, 2016, 31(10): 833-853. DOI: 10.3969/j.issn.1000-3614.2016.10.001.
    [11]
    中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2017年版)[J]. 中国实用内科杂志, 2018, 38(4): 299-344. DOI: 10.19538/j.nk201804010.

    Chinese Diabetes Society. Guidelines for the prevention and control of type 2 diabetes in China (2017 Edition)[J]. Chinese Journal of Practical Internal Medicine, 2018, 38(4): 299-344. DOI: 10.19538/j.nk201804010.
    [12]
    中国肥胖问题工作组. 中国成人超重和肥胖症预防与控制指南(节录)[J]. 营养学报, 2004, 26(1): 1-4. DOI: 10.13325/j.cnki.acta.nutr.sin.2004.01.001.

    Working Group on Obesity in China. Guidelines for the prevention and control of overweight and obesity in Chinese adults (excerpt)[J]. Acta Nutrim Sin, 2004, 26(1): 1-4. DOI: 10.13325/j.cnki.acta.nutr.sin.2004.01.001.
    [13]
    Lee S, Jeevaratnam K, Liu T, et al. Prediction of atrial fibrillation and sudden cardiac death in type 2 diabetic patients on insulin: a territory-wide observational cohort study[J]. Eur Heart J Acute CA, 2021, 10(Supplement_1): zuab020-019. DOI: 10.1093/EHJACC/ZUAB020.019.
    [14]
    Nakajima K, Nakajima Y, Takeichi S, et al. Plasma remnant-like lipoprotein particles or LDL-C as major pathologic factors in sudden cardiac death cases[J]. Atherosclerosis, 2008, 198(1): 237-246. DOI: 10.1016/j.atherosclerosis.2007.09.016.
    [15]
    Kunutsor SK, Zaccardi F, Karppi J, et al. Is high serum LDL/HDL cholesterol ratio an emerging risk factor for sudden cardiac death? findings from the KIHD study[J]. J Atheroscler Thromb, 2017, 24(6): 600-608. DOI: 10.5551/jat.37184.
    [16]
    Al-Aubaidy HA, Jelinek HF. Oxidative stress and triglycerides as predictors of subclinical atherosclerosis in prediabetes[J]. Redox Rep, 2014, 19(2): 87-91. DOI: 10.1179/1351000213Y.0000000080.
    [17]
    Eranti A, Kerola T, Aro AL, et al. Diabetes, glucose tolerance, and the risk of sudden cardiac death[J]. BMC cardiovas disord, 2016, 16(1): 1-8. DOI: 10.1186/s12872-016-0231-5.
    [18]
    Walker AM, Cubbon RM. Sudden cardiac death in patients with diabetes mellitus and chronic heart failure[J]. Diab Vasc Dis Res, 2015, 12(4): 228-233. DOI: 10.1177/1479164115573225.
    [19]
    Svane JS, Pedersen-Bjergaard U, Tfelt-Hansen J. Diabetes and the risk of sudden cardiac death[J]. Curr Cardiol Rep, 2020, 22(10): 1-10. DOI: 10.1007/s11886-020-01366-2.
    [20]
    Kenttä TV, Nearing BD, Porthan K, et al. Prediction of sudden cardiac death with automated high-throughput analysis of heterogeneity in standard resting 12-lead electrocardiograms[J]. Heart Rhythm, 2016, 13(3): 713-720. DOI: 10.1016/j.hrthm.2015.11.035.
    [21]
    Holkeri A, Eranti A, Haukilahti MAE, et al. Predicting sudden cardiac death in a general population using an electrocardiographic risk score[J]. Heart, 2020, 106(6): 427-433. DOI: 10.1136/heartjnl-2019-315437.
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