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2016, Number 3

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Revista Cubana de Salud Pública 2016; 42 (3)

Impact of essential blood hypertension and ischemic heart diseases in sudden cardiac death victims

Vilches IE, Ochoa MLA, González LM, Ramos ML, Tamayo VND, García OD, Díaz LH

Language: Spanish
References: 21
Page: 432-441
PDF size: 145.94 Kb.


ABSTRACT

Objective: To determine the relationship between essential blood hypertension and ischemic heart disease in sudden cardiac death.
Methods: Non-paired case-control observational analytical study of 600 natural cardiac death cases which were diagnosed at “Julio Trigo Lopez” hospital in the period of 2007 to 2011. In this group, 200 died from sudden cardiac death and 400 from non-sudden cardiac death; anatomic and pathological studies were performed.
Results: The univariate and multivariate analyses proved that blood hypertension and ischemic heart disease were positively associated as risk factors for sudden cardiac death. It was conformed that atherosclerotic lesions were significantly present in sudden cardiac death victims together with these risk factors, so an evident causality relationship was set. It was defined that anatomic pathological studies exhibited higher level of reliability as to evaluation of a very controversial issue such as sudden cardiac death.
Conclusions: Blood hypertension and ischemic heart disease are independent risk factors for sudden cardiac death; both elements have direct marked relation with the presence of atherosclerotic lesions in the coronary vascular tree as evidence of the role of atherosclerosis in the etiopathogeny of the disease.


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