Аннотация:
Judicial-histologic and judicial-chemical certificates of 2630 cases (1925 men and 706 women) of sudden cardiac death (SCD) for 1997 – 2002 have been studied. Maximum of SCD in men was in the intervals 6:00 – 8:59 a.m. – 17.5% and 9:00 – 11:59 a.m. – 20.2%, in women – 9:00 – 11:59 a.m. – 21.4%; with detected alcohol in men – 18:00 – 20:59 p.m. – 14.8%, 21:00 – 23:59 p.m. – 14.4% and 6:00 – 8:59 a.m. – 15.1%, in women – 15:00 – 17:59 p.m. – 21.6%. Thus, alcohol intake smoothes characteristic circadian death rhythms in the population as a whole, as those who take alcohol chronically form the circadian rhythm distinctive from the one characteristic for those who drink less alcohol. Authentic gender distinctions of time maxima of SCD are found out in the persons taking alcohol before SCD, as well as the absence of circadian dependence of SCD frequencies without regard to sex and the fact of presence of alcohol in the blood and-or urine of a corpse. It may be concluded that alcohol is the leader desynchronizer of a natural circadian rhythm of death rate of SCD.
Ключевые слова:
sudden cardiac death, alcohol, circadian time rhythms, gender distinctions