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学科主题: 临床医学
题名:
Analysis of the prodromal symptoms of unexplained sudden death in patients with or without underlying diseases
作者: Tian Zhao-xing2; Lu Yan-yu5; Yan Wei3; Zhao Wen-kui4; Li Xuan1
关键词: prodromal symptoms ; unexplained sudden death ; early-warning function
刊名: CHINESE MEDICAL JOURNAL
发表日期: 2012-10-20
DOI: 10.3760/cma.j.issn.0366-6999.2012.20.004
卷: 125, 期:20, 页:3619-3623
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: CARDIAC DEATH ; EPILEPSY ; GENES
英文摘要:

Background In recent years, the incidence of unexplained sudden death has risen significantly across the world. However, it occurred suddenly, often in young apparently healthy individuals and almost 50% of the patients did not have any warning signals or symptoms. Therefore, the prodromal symptoms before the incident are extremely important for early prediction of sudden death. In this article, we aimed to explore the value of prodromal symptoms for unexplained sudden death and whether the prodromal symptoms have a predictive function to unexplained sudden death (USD) without underlying diseases.

Methods A total of 208 sudden death cases were selected for the survey in the Emergency Department of Peking University Third Hospital from January 2006 to December 2009 and their medical records were reviewed. The patients were divided into two groups, 65 patients had underlying diseases while 143 had not underlying diseases. In the meantime, their prodromal symptoms were collected and compared, prodromal symptoms including chest distress, dyspnea, syncope, fever, headache, vomiting, etc.

Results Patients with underlying diseases were compared to those without underlying diseases associated with sudden death; there was no significant difference in gender and age distribution. Among the 208 cases, 39 cases (18.75%) had prodromal symptoms, patients with underlying diseases had prodromal symptoms in 12 cases (18.46%), while patients without underlying diseases had prodromal symptoms in 27 cases (18.88%). The difference between the two groups with prodromal symptoms was not statistically significant (P>0.05).

Conclusions Prodromal symptoms are extremely important warning signals in the occurrence of USD. It has equally important predictive value for patients both with and without underlying diseases, especially in predicting sudden death caused by cardiopulmonary and neurological diseases. Chin Med J 2012;125(20):3619-3623

语种: 英语
所属项目编号: 81172745
项目资助者: National Natural Science Foundation of China
WOS记录号: WOS:000311265100004
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/56213
Appears in Collections:北京大学第三临床医学院_期刊论文

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作者单位: 1.Peking Univ, Hosp 3, Dept Educ, Beijing 100191, Peoples R China
2.Capital Inst Pediat, Dept Hlth Dev, Beijing 100020, Peoples R China
3.Peking Univ, Hosp 3, Dept Intervent Radiol & Vasc Surg, Beijing 100191, Peoples R China
4.Peking Univ, Hosp 3, Dept Emergency Med, Beijing 100191, Peoples R China
5.Peking Univ, Hosp 3, Dept Resp Dis, Beijing 100191, Peoples R China

Recommended Citation:
Tian Zhao-xing,Lu Yan-yu,Yan Wei,et al. Analysis of the prodromal symptoms of unexplained sudden death in patients with or without underlying diseases[J]. CHINESE MEDICAL JOURNAL,2012,125(20):3619-3623.
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