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. 2019 Mar 26;11(3):103–119. doi: 10.4330/wjc.v11.i3.103

Table 3.

Risk factors for sudden cardiac death post myocardial infarction

Risk factor studied Relative risk of SCD P value Absolute SCD risk in cohort Study size Year Country
Age
Rao et al[24] OR 1.03 (1.00-1.05) (Increasing age) 0.0163 4.9% in the 1st month post MI 929 2012 India
Mehta et al[25] OR 0.12; Standard error = 0.02 (Age per 1 year increase) 0.0001 2948 2001 North America
Abildstrom et al[26] OR 1.56 (1.43–1.70) (Age per 10 years) < 0.0001 5.3% at 1 year 5983 2002 Denmark
Female gender
Rao et al[24] OR 1.78 (1.02-2.85) 0.0042 4.9% in the 1st month post MI 929 2012 India
Greenland et al[27] OR 1.72 (1.45-2.04) < 0.0005 5839 1991 Israel
Greenland et al[27] OR 1.32 (1.05-1.66) (Death at 1 year) < 0.03 5839 1991 Israel
Ghaffari et al[28] OR 1.76 (1.22–2.54) (univariate analysis) 0.002 1017 2017 Iran
Ghaffari et al[28] OR 1.19 (0.77–1.8) (multivariate analysis) 0.407 1017 2017 Iran
Macintyre et al[29] OR 1.09 (1.06 to 1.13) (Death at 1 year) < 0.00001 201114 2001 UK
Male gender
Abildstrom et al[26] OR 1.34 (1.11–1.63) < 0.005 5.3% at 1 year 5983 2002 Denmark
LV dysfunction
Rao et al[24] OR 2.35 (1.09-5.03) (Severe LV dysfunction ≤ 30%) 0.0292 4.9% in the 1st month post MI 929 2012 India
Solomon et al[30] HR 1.21 (1.10 to 1.30) (LV depression by each 5 percentage points) 7% at 1 month post MI; 11% at 2 years post MI 14609 2005 North America, Europe and New Zealand
Klem et al[31] HR 6.30 (1.40-28.00) (LVEF > 30% and significant scarring > 5% on CMRI compared to no scarring) 0.02 137 2012 USA
Klem et al[31] HR 3.90 (1.20-13.10) (LVEF ≤ 30% and those with scar > 5% on CMRI compared to those with scarring) 0.03 137 2012 USA
Yeung et al[32] HR 3.60 (1.46–8.75) (LVEF ≤ 30%) < 0.01 610 2012 China
Chitnis et al[33] OR 4.51 (2.20–9.24) (LVEF ≤ 35%) < 0.0001 4% in those with EF > 35% at 1 year post MI; 8% in those with EF≤ 35% at 1 year post MI 929 2014 India
Adabag et al[34] HR 3.64 (1.71-7.75) (presence of heart failure based on the framingham criteria) < 0.001 693 2008 USA
Right ventricular involvement
Mehta et al[25] OR 3.20 (2.40-4.10) < 0.00001 2948 2001 Canada
Diabetes
Yeung et al[32] HR 1.90 (1.04–3.40) 0.04 610 2012 China
Junttila et al[35] HR 3.80 (2.40–5.80) < 0.001 3276 2010 Finland
Ventricular arrythmia
Maggioni et al[36] RR 2.24 (1.22-4.08) (more than 10 premature ventricular beats per hour) 0.002 8676 1993 Italy
Maggioni et al[36] RR 1.20 (0.80-1.79) (NSVT) 8676 1993 Italy
Mäkikallio et al[37] HR 2.40 (1.30–4.40) (Ventricular premature complexes 10/h) 0.0049 2130 2005 Finland
Mäkikallio et al[37] HR 3.30 (1.70–6.50) (NSVT) < 0.0005 2130 2005 Finland
ECG features
Mäkikallio et al[37] HR 3.30 (1.70–6.50) (QRS ≥ 120 ms) 0.0004 2130 2005 Finland
Zimetbaum et al[38] HR 1.44 (1.11-1.88) (Non-specific intraventricular conduction delay) 0.0069 1638 2004 USA
Zimetbaum et al[38] HR 1.49 (1.02-2.17) (LBBB) 0.0400 1638 2004 USA
Zimetbaum et al[38] HR 1.35 (1.08-1.69) (LVH) 0.0082 1638 2004 USA
Siscovick et al[39] OR 1.40 (1.00-2.00) (LVH) 0.02 688 1996 USA

SCD: Sudden cardiac death; MI: Myocardial infarction; HR: Hazard ratio; OR: Odds ratio; LV: Left ventricular; EF: Ejection fraction.