정정논문
2021, vol.62 no.10 pp: 959 ~ 959
초록 열기/닫기 버튼
Purpose: Cardiovascular health (CVH) status is associated with several cardiovascular outcomes; however, correlations betweenchanges in CVH status and risk of sudden cardiac death (SCD) are unknown. We aimed to evaluate associations between changesin CVH status and risk of SCD and all-cause death in older adults. Materials and Methods: We used data from the Korea National Health Insurance Service-Senior cohort database (2005–2012). Sixmetrics from the American Heart Association (smoking, body mass index, physical activity, blood pressure, total cholesterol, andfasting blood glucose) were used to calculate CVH scores. Changes in CVH status between two health checkups were categorizedas low to low, low to high, high to low, and high to high. Results: We included 105200 patients whose CVH status for an initial and follow-up health checkup (2-year interval) was available. During a median of 5.2 years of follow-up after a second health checkup, 688 SCDs occurred. Compared to patients with apersistent low CVH status, those with a consistently high CVH status had a reduced risk of SCD [adjusted hazard ratio (HR), 0.69;95% confidence interval (CI), 0.56–0.86] and all-cause death (adjusted HR, 0.74; 95% CI, 0.69–0.78). The risk of all-cause death followedsimilar trends. However, an inconsistent linear relationship was observed for changes in CVH status and the risk of SCD,but not of all-cause death. Conclusion: Maintaining a high CVH status was associated with future risks of SCD and all-cause death among an older adultpopulation.
