TY - JOUR T1 - Height and risk of sudden cardiac death: the Atherosclerosis Risk in Communities and Cardiovascular Health studies. JF - Ann Epidemiol Y1 - 2014 A1 - Rosenberg, Michael A A1 - Lopez, Faye L A1 - Bůzková, Petra A1 - Adabag, Selcuk A1 - Chen, Lin Y A1 - Sotoodehnia, Nona A1 - Kronmal, Richard A A1 - Siscovick, David S A1 - Alonso, Alvaro A1 - Buxton, Alfred A1 - Folsom, Aaron R A1 - Mukamal, Kenneth J KW - Adult KW - Aged KW - Atherosclerosis KW - Body Height KW - Coronary Disease KW - Death, Sudden, Cardiac KW - Female KW - Humans KW - Hypertension KW - Incidence KW - Male KW - Middle Aged KW - Population Surveillance KW - Prospective Studies KW - Risk Factors AB -

PURPOSE: Sudden cardiac death (SCD) is an important cause of mortality in the adult population. Height has been associated with cardiac hypertrophy and an increased risk of arrhythmias but also with decreased risk of coronary heart disease, suggesting a complex association with SCD.

METHODS: We examined the association of adult height with the risk of physician-adjudicated SCD in two large population-based cohorts: the Cardiovascular Health Study and the Atherosclerosis Risk in Communities study.

RESULTS: Over an average follow-up time of 11.7 years in Cardiovascular Health Study, there were 199 (3.6%) cases of SCD among 5556 participants. In Atherosclerosis Risk in Communities study, over 12.6 years, there were 227 (1.5%) cases of SCD among 15,633 participants. In both cohorts, there was a trend toward decreased SCD with taller height. In fixed effects meta-analysis, the pooled hazard ratio per 10 cm of height was 0.84; 95% confidence interval, 0.73-0.98; P = .03. The association of increased height with lower risk of SCD was slightly attenuated after inclusion of risk factors associated with height, such as hypertension and left ventricular hypertrophy. The association appeared stronger among men than women in both cohorts.

CONCLUSIONS: In two population-based prospective cohorts of different ages, greater height was associated with lower risk of SCD.

VL - 24 IS - 3 U1 - http://www.ncbi.nlm.nih.gov/pubmed/24360853?dopt=Abstract ER -