Perfil de riesgo vascular aterosclerótico del fallecido por muerte cardíaca súbita / Atherosclerotic vascular risk profile in patients who died of sudden cardiac death
Rev. cuba. med
; 52(3)jul.-sept. 2013. tab
Article
in Spanish
| CUMED
| ID: cum-57850
Responsible library:
CU1.1
Localization: CU1.1
RESUMEN
Objetivo:
determinar el perfil de riesgo vascular aterosclerótico en los fallecidos por muerte cardíaca súbita atendidos en el Hospital Julio Trigo López en el período 2007-2011.Métodos:
estudio observacional, analítico, de casos y controles no pareados.Resultados:
algunos factores de riesgo vasculares ateroscleróticos se expresaron de forma significativa en el grupo de fallecidos por causas cardíacas súbitas (hipertensión arterial, tabaquismo, obesidad, cardiopatía isquémica, hipertrofia ventricular izquierda, alcoholismo). Se corroboró que la existencia de 3 o más factores eleva exponencialmente el riesgo de muerte cardíaca súbita sobre la mortalidad cardiovascular total. Se halló presencia significativa de lesiones ateroscleróticas coronarias en ambos grupos, que determinaron la aparición de trombosis coronaria y/o infarto agudo del miocardio, con predominio en las muertes súbitas.Conclusiones:
no existieron factores de riesgo específicos para la muerte cardíaca súbita. Algunos de estos mostraron un incremento en la probabilidad para este tipo de evento. La búsqueda de un perfil de riesgo en fallecidos de muerte cardíaca súbita debe ir orientada al diseño de investigaciones donde se incluyan las estadísticas vitales de mortalidad global y no por causas específicas (cardiovasculares)(AU)ABSTRACT
Objective:
to determine the atherosclerotic vascular risk profile in patients who died of sudden cardiac death, treated in Julio Trigo López Hospital during the period 2007- 2011.Methods:
an observational, analytical, and non-matched case-control study was conducted.Results:
some atherosclerotic vascular risk factors were expressed significantly in the group of patients who died of sudden cardiac deaths (hypertension, smoking, obesity, ischemic heart disease, left ventricular hypertrophy, alcoholism). It was confirmed that the existence of 3 or more factors exponentially increases the risk of sudden cardiac death on total cardiovascular mortality. A significant presence of coronary atherosclerotic lesions was found in both groups, which determined the onset of coronary thrombosis and/or acute myocardial infarction that predominated in sudden deaths.Conclusions:
there were no specific risk factors for sudden cardiac death. Some of them showed an increased probability for this type of event. The search for a risk profile for sudden cardiac death should be oriented to the research design which would include vital statistics of global mortality and not the specific causes (cardiovascular)(AU)
Full text:
Available
Collection:
National databases
/
Cuba
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Cardiovascular Disease
Database:
CUMED
Main subject:
Vascular Diseases
/
Risk Factors
/
Death, Sudden, Cardiac
Type of study:
Etiology study
/
Observational study
/
Risk factors
Limits:
Humans
Language:
Spanish
Journal:
Rev. cuba. med
Year:
2013
Document type:
Article
Institution/Affiliation country:
Hospital Clinicoquirúrgico Hermanos Ameijeiras/Cuba