© 2002 by Heart
EDITORIAL
What’s bad for the gander . . . Women and sudden cardiac death
Department of Medicine, Krannert Institute of Cardiology, Indiana University, Indianapolis, Indiana, USA
Correspondence to:
Correspondence to:
William J Groh, MD, Krannert Institute of Cardiology, Indiana University School of Medicine, 1800 North Capitol, Indianapolis, IN 46202, USA;
wgroh@iupui.edu
The risk of sudden cardiac death seems to be increasing in women, such that the two sexes may soon reach parity when it comes to SCD
Keywords: sudden cardiac death; women
Abbreviations: CAMIAT, Canadian amiodarone myocardial infarction arrhythmia trial; CHD, coronary heart disease; EMIAT, European myocardial infarct amiodarone trial; SCD, sudden cardiac death; TRACE, trandolapril cardiac evaluation
| The first 150 words of the full text of this article appear below. |
Sudden cardiac death (SCD), typically defined as death from a cardiac cause that occurs within one hour of the onset of symptoms in an individual without a prior condition that would appear fatal, remains a major health problem in the developed world.1 SCD accounts for more than 60% of all cardiac deaths, with absolute numbers in the USA well in excess of 400 000 annually.2 The majority of SCD occur in the setting of coronary heart disease (CHD) and thus populations with this condition often form the basis for SCD risk assessment.3
A truism regarding SCD in the setting of CHD has been that women are at a significantly lower risk than men. In the Rochester CHD project women presenting with angina, despite being an average of seven years older than men presenting with angina, had only half the risk of dying in the subsequent 10 years as men.4 In
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