Sudden cardiac death: Cuban approach centered on the results of a risk profile study

Ernesto Vilches Izquierdo; Luis A Ochoa Montes; Lianne Ramos Marrero; Henrry Díaz Londres; Mileydis González Lugo; Carmen M Padilla González

2014, Number S1

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CorSalud 2014; 6 (S1)

Sudden cardiac death: Cuban approach centered on the results of a risk profile study

Vilches IE, Ochoa MLA, Ramos ML, Díaz LH, González LM, Padilla GCM

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Language: Spanish
References: 36
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ABSTRACT

Introduction: Cardiovascular diseases are the leading cause of death worldwide. In Cuba, they are the leading cause of death and the third cause of years of potential life lost. Over 50% of these deaths are due to one of the most dramatic manifestations of ischemic heart disease: sudden cardiac death.
Objectives: To determine the atherosclerotic vascular risk profile of patients who died from sudden cardiac death at the Julio Trigo López Hospital from 2007 to 2011.
Method: An observational, analytical, unmatched case-control study.
Results: Some atherosclerotic vascular risk factors had a significant presence in the group of patients who died from sudden cardiac causes (hypertension, smoking, obesity, ischemic heart disease, left ventricular hypertrophy, alcoholism). It was confirmed that the existence of 3 or more risk factors increases exponentially the risk of sudden cardiac death above total cardiovascular mortality rate. A significant presence of coronary atherosclerotic lesions was found in both groups, which determined the onset of coronary thrombosis and acute myocardial infarction, predominantly in patients with sudden death.
Conclusions: There were no specific risk factors for sudden cardiac death. Some of these factors showed increased probability for this type of event. The search for a risk profile in patients with sudden cardiac death should be focused on designing studies that include vital statistics of overall mortality and not by specific causes (cardiovascu-lar causes).

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