Core Viewpoint - The article investigates the claim that sudden cardiac death (SCD) is increasingly prevalent among young people, concluding that there is insufficient evidence to support this notion and that the primary risk group remains older adults [4][22]. Group 1: Misconceptions about Sudden Cardiac Death - The perception that "young people are the main group affected by sudden cardiac death" lacks authoritative epidemiological evidence [22]. - Reports suggesting that "80% of sudden deaths are due to SCD" are inaccurate; the actual figure is approximately 57.8% [22]. - Claims that "over 40% of SCD cases occur in the 18-39 age group" are not substantiated by the original data from the "China Cardiovascular Health and Disease Report 2021" [22]. Group 2: Data Verification and Analysis - A study published in the "Chinese Journal of Emergency Medicine" analyzed 5,516 autopsy cases and found that SCD accounted for 57.76% of sudden deaths, contradicting the 80% figure [11]. - The annual estimate of SCD cases in China is around 544,000, with a significant portion of these cases not being attributed to young individuals [12][22]. - The claim that "43% of SCD cases are in the 18-39 age group" originates from a 2017 article but lacks supporting evidence from academic literature [13][22]. Group 3: Age and Sudden Cardiac Death Risk - Research indicates that the incidence of SCD is significantly lower in younger populations compared to older adults, with rates for those aged 15-34 being under 10 per 100,000 [17][19]. - A comprehensive analysis covering 55 years of data shows that individuals aged 63 and above are the most affected by SCD [19]. - The overall trend indicates that while SCD cases among young people are reported, the actual risk remains lower than that of older demographics [20][22].

Core Viewpoint - The recent death of Zhao Han, founder of the well-known Yunnan cuisine brand "Yunhaiyao," due to a sudden heart attack has raised awareness about the increasing prevalence of acute myocardial infarction (AMI) among younger individuals and the need for public education on heart health and self-rescue measures [1][4]. Group 1: Heart Attack Awareness - Acute myocardial infarction (AMI) is characterized by the acute necrosis of heart muscle cells due to insufficient blood supply, primarily caused by the blockage of coronary arteries [2][3]. - The overall mortality rate from AMI in China has shown an upward trend from 2002 to 2021, with rural areas experiencing a significant increase since 2012, surpassing urban rates [1]. Group 2: Risk Factors and Symptoms - Key risk factors for heart attacks include chronic conditions such as hypertension, hyperlipidemia, and diabetes, as well as lifestyle choices like smoking, obesity, and lack of exercise [2][4]. - Symptoms of a heart attack may include sudden discomfort in the chest, severe pain radiating to the left shoulder and arm, shortness of breath, sweating, and feelings of impending doom [3][5]. Group 3: Emergency Response and Prevention - Immediate self-rescue measures include stopping all activities, resting, calling emergency services, and using emergency medications like nitroglycerin or aspirin if symptoms persist [3][5]. - Preventive measures against sudden cardiac death involve regular health screenings, lifestyle modifications such as a low-salt, low-fat diet, regular exercise, and managing existing health conditions [6].

Core Viewpoint - The article emphasizes the increasing prevalence of sudden cardiac death in China, highlighting the importance of awareness, prevention, and timely intervention in saving lives [1][2]. Group 1: Sudden Cardiac Death - The crude incidence rate of acute myocardial infarction among residents aged 18 and above in China is reported to be 79.7 per 100,000 [1]. - Sudden cardiac death is defined as unexpected death due to cardiac causes, typically occurring within one hour of symptom onset, with common triggers including myocardial infarction and arrhythmias [2]. Group 2: Emergency Response - The "golden time" for resuscitation after cardiac arrest is within 4 minutes, as failure to act promptly can lead to irreversible brain damage and multi-organ failure [2]. - Initiatives like the "4-minute rescue circle" in Dongguan and plans to increase AED availability in public places are being implemented to enhance emergency response [3]. Group 3: Risk Factors - Key risk factors for sudden cardiac death include a history of coronary heart disease, hypertension, diabetes, and lifestyle factors such as lack of sleep and high-stress levels [4]. - Individuals with a family history of cardiovascular diseases should undergo regular screenings, including ECG and echocardiograms [4]. Group 4: Prevention Strategies - Lifestyle changes are crucial for heart health, including a balanced diet low in salt, fat, and sugar, regular exercise, and avoiding smoking and excessive alcohol consumption [6]. - External factors like extreme cold weather and high altitudes can increase the risk of sudden cardiac death, particularly for those with pre-existing conditions [6].

Group 1 - The article discusses the tragic incident of a renowned Taiwanese musician, Han Hsien-Kuang, who suffered a cardiac arrest while playing badminton, highlighting the importance of timely medical intervention in such emergencies [1][4] - It emphasizes the rising incidence of sudden cardiac arrest during sports events, referencing the case of Danish player Christian Eriksen, who survived due to immediate CPR [4][5] - The article presents alarming statistics, indicating that approximately 760,000 people die from cardiac diseases in China annually, with over 90% of these incidents occurring outside hospitals [7][8] Group 2 - The article outlines preventive measures against sudden cardiac death, including regular health screenings and lifestyle modifications such as a balanced diet, exercise, and avoiding smoking and excessive alcohol consumption [8][9] - It stresses the critical "golden 4 minutes" for effective CPR and the use of Automated External Defibrillators (AEDs) in increasing survival rates [10][11] - The Shanghai Health Commission has reported a current AED availability of 26.5 units per 100,000 people, with plans to increase this to 75,000 units by 2025 [11][12] Group 3 - The global AED market was valued at approximately 11.31 billion yuan in 2022, with projections to grow to 16.12 billion yuan by 2028, driven by an aging population and rising cardiovascular disease rates [14][15] - Domestic AED procurement in China has been steadily increasing, with amounts rising from 395 million yuan in 2021 to an expected 600 million yuan in 2024 [14][15] - The article notes that the domestic market for AEDs is becoming increasingly competitive, with a projected 79% localization rate by 2024, as local companies enhance their technological capabilities [15][16]

Group 1: Heart-related Sudden Deaths - Sudden cardiac arrest incidents during sports activities are increasingly reported, often resulting in tragic outcomes [1] - In China, approximately 760,000 people die from sudden cardiac events annually, with over 90% occurring outside hospitals [3] - The demographic most affected by out-of-hospital cardiac arrests are males aged 60-89, with a significant occurrence in the elderly population [3] Group 2: AED and CPR Importance - The survival rate for patients receiving CPR is significantly higher when performed within the first four minutes of cardiac arrest [5][6] - AEDs (Automated External Defibrillators) combined with CPR can greatly enhance the chances of survival during cardiac emergencies [1][7] - Japan's AED Foundation reported survival rates of 54.2% when AEDs are used, highlighting their effectiveness in emergency situations [7] Group 3: AED Deployment and Market Growth - China's AED market is projected to grow from 11.31 billion yuan in 2022 to 16.12 billion yuan by 2028, with a CAGR of 6.1% [9] - The current AED deployment in Shanghai is 26.5 units per 100,000 people, indicating a need for improvement compared to developed regions [7] - The Chinese government has initiated projects to increase AED availability, with plans to add 7,500 units in Shanghai by 2025 [7][8] Group 4: Domestic AED Development - Domestic companies are rapidly advancing AED technology, with a projected 79% localization rate in the market by 2024 [10] - Major local manufacturers like Mindray and Yuwell are launching new AED models with enhanced features, indicating a competitive landscape [11] - The focus on social benefits drives government procurement of AEDs, leading to a concentrated market with domestic brands gaining a competitive edge [10]