Carrero VAM, Pérez RT, Martínez GG, González MY, Cisneros BLG, Martínez PRM

Language: Spanish
References: 0
Page: 19-26
PDF size: 323.86 Kb.

ABSTRACT

Introduction: Cardiovascular diseases represent one of the main public health problems worldwide, causing 17.9 million deaths yearly. Objective: To characterize mortality due to cardiovascular disease in the coro-nary care unit of the Hospital Enrique Cabrera of Havana, Cuba; as well as to identify the clinical-pathological correlation of the diagnosis. Method: An observational-descriptive and cross-sectional study was carried out including the 85 patients admitted to the coronary care unit from January 2017 to January 2020, who died in the aforementioned period. Descriptive statistical measures such as absolute frequency and relative percentage were applied. Results: Most of the deceased were from the age group between 71 and 80 years old (38.8%), with a predominance of men (60,0%). The highest percentage of direct clinical causes of death corresponded to malignant ventricular arrhythmias (35.3%), followed by congestive heart failure (17.6%). Necropsy was not performed in the 80% of cases, mainly due to family refusal (57.4%). In most of the cases in which necropsy was performed, there was partial clinical-pathological correlation (53%) where acute myocardial infarction (87.5%) stood out; the 80.0% of the de-ceased with a diagnosis of cardiogenic shock had a total correlation, and only 17.6% had no clinico-pathological correlation. Conclusions: Mortality predominated in men older than 70 years old, with malig-nant ventricular arrhythmias as more common clinical cause of death and myo-cardial infarction as the prevailing anatomopathological diagnosis. The predomi-nant clinical-pathological correlation was the partial one.