Martínez PRM, Carrero VAM, Cisnero SLG, Chipi RY, Olivera MA, Izquierdo RE

Language: Spanish
References: 0
Page: 32-39
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ABSTRACT

Introduction: The sudden cardiac death (SCD) is a major public health problem. According to a variety studies, it is estimated that 12.5% of deaths that occur naturally are sudden, and 88% of them, of cardiac origin; hence, the sudden death represents currently one of the main challenges for healthcare systems worldwide.
Objective: To characterize the deceased by SCD at the Hospital Enrique Cabrera Cossío.
Method: Observational descriptive retrospective cross-sectional study, where natural deaths attributable to cardiac causes were studied in the period from January/2014 to August/2016 and there was determined which of these were sudden.
Results: A total of 210 cases of natural deaths that took place on the way to the hospital or in the first six hours of hospital stay were studied, the presence of cardiovascular pathological records and risk factors was reviewed, the time of the onset of symptoms, the presence, or not, of prodromes, the time in which the death occurred, the possible cause of death and the relationship between hospital time and death. There was a close relationship between the SCD and the history of high blood pressure (82.8%), previous ischemic heart disease (59.0%), smoking (58.1%) and diabetes mellitus (26.7%), as well as with the acute myocardial infarction as a trigger of death.
Conclusions: The SCD took place mainly due to cardiac arrhythmia in patients with cardiovascular risk factors, and death occurred mostly in the first hour of the in-hospital stay.