Day-of-the-week variation of sudden unexpected cardiac death.

Medico-legal autopsy Septadian variation Sudden cardiac death

Journal

International journal of cardiology. Cardiovascular risk and prevention
ISSN: 2772-4875
Titre abrégé: Int J Cardiol Cardiovasc Risk Prev
Pays: Netherlands
ID NLM: 9918282077306676

Informations de publication

Date de publication:
Mar 2024
Historique:
received: 23 10 2023
revised: 31 01 2024
accepted: 08 02 2024
medline: 13 3 2024
pubmed: 13 3 2024
entrez: 13 3 2024
Statut: epublish

Résumé

There has been some controversy about the day-of-the-week (septadian) variation of unexpected sudden cardiac death (SCD). We evaluated the incidence of unexpected SCD on different days of the week in a consecutive series of 5869 SCD victims from Northern Finland [the FINGESTURE study (Finnish Genetic Study of Arrhythmic Events)]. As it is mandatory in Finland, a medico-legal autopsy was performed on all unexpected sudden death victims. The autopsies were performed between the years 1998-2017. The mean incidence of unexpected SCD was higher at weekends (during the days from Friday to Sunday, peaking on Saturday) than during the days from Monday to Thursday (8.54 ± 0.72 vs. 7.22 ± 0.19 SCDs per day of the week per 100,000 inhabitants per year, p < 0.001). Regardless of sex or ischemic versus non-ischemic etiology of SCD, the distribution of the occurrence of SCD among the days of the week was similar compared with the whole SCD cohort. The incidence of unexpected SCD was highest at weekends (during the days from Friday to Sunday, peaking on Saturday).

Sections du résumé

Background UNASSIGNED
There has been some controversy about the day-of-the-week (septadian) variation of unexpected sudden cardiac death (SCD).
Methods UNASSIGNED
We evaluated the incidence of unexpected SCD on different days of the week in a consecutive series of 5869 SCD victims from Northern Finland [the FINGESTURE study (Finnish Genetic Study of Arrhythmic Events)]. As it is mandatory in Finland, a medico-legal autopsy was performed on all unexpected sudden death victims. The autopsies were performed between the years 1998-2017.
Results UNASSIGNED
The mean incidence of unexpected SCD was higher at weekends (during the days from Friday to Sunday, peaking on Saturday) than during the days from Monday to Thursday (8.54 ± 0.72 vs. 7.22 ± 0.19 SCDs per day of the week per 100,000 inhabitants per year, p < 0.001). Regardless of sex or ischemic versus non-ischemic etiology of SCD, the distribution of the occurrence of SCD among the days of the week was similar compared with the whole SCD cohort.
Conclusion UNASSIGNED
The incidence of unexpected SCD was highest at weekends (during the days from Friday to Sunday, peaking on Saturday).

Identifiants

pubmed: 38476977
doi: 10.1016/j.ijcrp.2024.200246
pii: S2772-4875(24)00011-4
pmc: PMC10928361
doi:

Types de publication

Journal Article

Langues

eng

Pagination

200246

Informations de copyright

© 2024 The Authors.

Déclaration de conflit d'intérêts

None declared.

Auteurs

Hanna Latola (H)

Research Unit of Biomedicine and Internal Medicine, Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.

Severi M Mattila (SM)

Research Unit of Biomedicine and Internal Medicine, Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.

Lasse Pakanen (L)

Forensic Medicine Unit, Finnish Institute for Health and Welfare, Oulu, Finland.
Department of Forensic Medicine, Research Unit of Biomedicine and Internal Medicine, Medical Research Center Oulu, University of Oulu, Oulu, Finland.

Lauri Holmström (L)

Research Unit of Biomedicine and Internal Medicine, Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.

Janna Kauppila (J)

Research Unit of Biomedicine and Internal Medicine, Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.

Olavi H Ukkola (OH)

Research Unit of Biomedicine and Internal Medicine, Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.

M Juhani Junttila (MJ)

Research Unit of Biomedicine and Internal Medicine, Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.

Heikki V Huikuri (HV)

Research Unit of Biomedicine and Internal Medicine, Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.

Juha S Perkiömäki (JS)

Research Unit of Biomedicine and Internal Medicine, Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.

Classifications MeSH