Causes of sudden death in young female military recruits
Causes of sudden death in young female military recruits
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DOI：
10.1016/j.amjcard.2006.01.036
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发表时间：
2006-06-15
影响因子：
2.8
通讯作者：
Tedrow, U
中科院分区：
文献类型：
--
作者：
Eckart, RE;Scoville, SL;Tedrow, U
本研究旨在调查一个大型多种族年轻女性队列中猝死的发生率。1977年至2001年，约有852 300名妇女参加了基本军事训练。在此期间，有15名女性新兵突然死亡（中位年龄19岁，73%为非洲裔美国人），发生在到达训练后的中位数25天。在猝死中，13例（81%）是由于可能是心源性的原因。8名新兵（53%）在结构正常的心脏中发生了假定的心脏猝死，2名新兵（13%）发现了异常冠状动脉起源。死亡率为每10万招募年11.4例死亡（95%置信区间为6.9至18.9）。非裔美国女性新兵的患病率明显更高（风险比10.2，p < 0.001）。心脏结构正常的猝死是女新兵在军事训练期间死亡的主要原因。(c)2006年爱思唯尔公司All rights reserved.
This study sought to examine the incidence of sudden death in a large, multiethnic cohort of young women. Approximately 852,300 women entered basic military training from 1977 to 2001. During this period, there were 15 sudden deaths in female recruits (median age 19 years, 73% African-American), occurring at a median of 25 days after arrival for training. Of the sudden deaths, 13 (81%) were due to reasons that may have been cardiac in origin. Presumed arrhythmic sudden death in the setting of a structurally normal heart was seen in 8 recruits (53%), and anomalous coronary origins were found in 2 recruits (13%). The mortality rate was 11.4 deaths per 100,000 recruit-years (95% confidence interval 6.9 to 18.9). The rate was significantly higher for African-American female recruits (risk ratio 10.2, p < 0.001). Sudden death with a structurally normal heart was the leading cause of death in female recruits during military training. (c) 2006 Elsevier Inc. All rights reserved.