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2012, Number 4

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CorSalud 2012; 4 (4)

The global challenge of sudden cardiac death in the new millennium. Summary of a cuban study

Ochoa MLA, Miguélez NR, Vilches IE, Pernas SY

Language: Spanish
References: 53
Page: 278-286
PDF size: 135.11 Kb.


ABSTRACT

Introduction and objective: Ischemic heart disease causes millions of deaths worldwide and over 50% occur suddenly. The aim of this study was to describe the epidemiology of sudden cardiac death in populations of Havana, Cuba. Method: An observational and descriptive study of the aforementioned deaths due to biological causes over a period of 15 years (1995-2009) was conducted. The population studied was 210.000. Results: 9.6% of deaths from cardiac causes were sudden, and it predominated in patients aged 75 and older (35.4%). 6.8% occurred in individuals aged under 45 years, 53.9% were male and 45.6% were white. 63.0% of cardiac arrests were initiated outside the hospital. 54.4% of those who die suddenly from cardiac causes had a history of ischemic heart disease, 42.0% presented hypertension and 68.5% had coro-nary atherosclerotic lesions. Sudden cardiac death (54.2%) and myocardial infarction (31.2%) were the most frequent presumptive diagnoses and an acute coronary syndrome was confirmed in 36.3% of the deceased. Conclusions: One of every 10 natural cardiac deaths was sudden, and male, white persons; aged 75 and over were predominant as well as a pre-hospital occurrence of the event . A history of ischemic heart disease, hypertension and left ventricular hyper-trophy were the predominant risk factors, and the main causes were acute myocardial infarction and cardiac arrhythmias. Coronary atherosclerotic lesions were identified in two thirds of the dead.


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