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>Journals >Revista Cubana de Medicina >Year 2014, Issue 3


Vilches IE, Ochoa MLA, Pernas SY, González LM, Ramos ML, Tamayo VND, Díaz LH
Smoking and alcohol and coffee consumption as risk factors for sudden cardiac death
Rev cubana med 2014; 53 (3)

Language: Español
References: 20
Page: 325-336
PDF: 127.60 Kb.


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ABSTRACT

Objective: describe the role of smoking and alcohol and coffee consumption as risk factors in the cases of sudden cardiac death (SCD) recorded at Julio Trigo López Hospital in the period 2007-2011.
Methods: analytical observational unmatched case-control study.
Results: it was found that smoking (OR= 4.08) and alcohol consumption (OR= 1.70) exhibited a strong statistical association with the cases of sudden cardiac death. On the other hand, evaluation of the presence of lesions on the coronary vascular tree revealed a strong positive statistical association mainly in the group of cases with OR= 5.5 for the variable smoking and OR= 4.8 for alcohol consumption. A fresh coronary thrombus and/or AMI were responsible for 63.8% of the cardiovascular deaths. This was particularly significant in the group of deaths due to cardiac causes (p= 0.000), reaching 75.5 % of the cases.
Conclusions: in both study groups, smoking showed strong statistical significance, but it was predominant in the SCD group. Alcohol consumption was found to be a potential RF in SCD cases. The presence of significant atherosclerotic lesions in both groups confirms its status as a RF. The potentially beneficial effect of coffee could not be determined, for it was accompanied by smoking. Hence the impossibility of controlling the variable.


Key words: sudden cardiac death, smoking, alcohol consumption, coffee consumption.


REFERENCIAS

  1. Huikuri HV, Castellanos A, Myerburg RJ. Sudden death due to cardiac arrhythmias. N Engl J Med. 2001;345:1473-82.

  2. Myerburg RJ, Interian A Jr, Mitrani RM, Kessler KM, Castellanos A. Frequency of sudden cardiac death and profiles of risk. Am J Cardiol. 1997;80:F10-9.

  3. Zheng ZJ, Croft JB, Giles WH, Mensah GA. Sudden cardiac death in the United States, 1989 to 1998. Circulation. 2001;104:2158-63.

  4. Wilson JD, Braunwald E, Isselbacher KJ, Petersdoff RD. Colapso cardiovascular, parada cardíaca y muerte súbita. En: Harrison TR, editor. Principios de Medicina Interna de Harrison TR. 15a ed. Madrid: Interamericana Mc Graw- Hill; 2005. p. 252-63.

  5. Ochoa Montes LA. Muerte súbita cardíaca. Estudio en comunidades de Arroyo Naranjo en el período 2000-2010 [tesis doctoral]. La Habana: Centro de Investigaciones y Referencias de Aterosclerosis de La Habana (CIRAH); 2012.

  6. Morentin B, Audicana A. Estudio poblacional de la muerte súbita cardiovascular extrahospitalaria: incidencia y causas de muerte en adultos de edad mediana. Rev Esp Cardiol. 2011;64(1):28-34.

  7. Zheng ZJ, Croft JB, Giles WH, Mensah GA. Sudden Cardiac Death in the United States, 1989 to 1998. Circulation. 2001;104(18):158-63.

  8. Tomàs I, Abadal L, Varas Lorenzo C, Pérez I, Puig T, Balaguer VI. Factores de riesgo y morbimortalidad coronaria en una cohorte laboral mediterránea seguida durante 28 años. Estudio de Manresa. Rev Esp Cardiol. 2001;54:1146-54.

  9. Rehm J, Monteiro M. Alcohol consumption and burden of desease in the Americas Implications for Alcohol Policy. Revista Panamericana Salud. 2005;18(4-5):241-8. 10.González Menéndez R. El uso no social de alcohol como factor de riesgo oncológico. Rev Cubana Salud Pública. 2011;37(Supl):686-94.

  10. Tavora F, Crowder C, Kutys R, Burke A. Discrepancies in initial death certificate diagnoses in sudden unexpected out-of-hospital deaths: the role of cardiovascular autopsy. Cardiovasc Pathol. 2008;17(3):178-82.

  11. Marrugat J, Elosua R, Gil M. Muerte súbita (I). Epidemiología de la muerte súbita cardíaca en España. Rev Esp Cardiol. 1999;52(9):717-25.

  12. Franklin SS, López VA, Wong ND, Mitchell GF, Larson MG, Vasan RS, et al. Single versus combined blood pressure components and risk for cardiovascular disease: the Framingham Heart Study. Circulation. 2009;119:243-50.

  13. Berton G, Cordiano R , Cavuto F, Giacomini G, De Toni R, Palatini P. Predictors of Ten-Year Event-Free Survival in Patients With Acute Myocardial Infarction. Italy. Am Heart. Ene. 2011;161(1):158-64. [citado 25 feb 2012]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22221943#

  14. Carter-Monroe N, Virmani R. Tendencias actuales en la clasificación de la muerte súbita cardiaca según los datos de autopsias: una revisión de los estudios sobre la etiología de la muerte súbita cardiaca. Rev Esp Cardiol. 2011;64(1):10-12.

  15. Manderbacka K, Elovainio M. La complejidad de la asociación entre posición socioeconómica e infarto agudo de miocardio. Rev Esp Cardiol. 2010;63(9):1015-8.

  16. Conde Cerdeira H. Intervencionismo coronario ambulatorio por la vía braquial en el CIMEQ [tesis doctoral]. La Habana: Centro de Investigaciones Médico- Quirúrgico (CIMEQ); 2011.

  17. Freedman ND, Park Y, Abnet CC, Hollenbeck AR, Sinha R. Association of Coffee Drinking with Total and Cause-Specific Mortality. N Engl J Med. 2012;366:1891-904.

  18. Huxley R, Lee CM, Barzi F. Coffee, decaffeinated coffee, and tea consumption in relation to incident type 2 diabetes mellitus: a systematic review with metaanalysis. Arch Intern Med. 2009;169:2053-63.

  19. Myerburg RJ, Castellanos A. Cardiac Arrest and Sudden Cardiac Death. En: Zipes DP, Libby P, Bonow RO, Braunwald E, editores. Braunwald's Heart Disease. A Textbook of Cardiovascular Medicine. 7a ed. Philadelphia: Elsevier Saunders; 2005. p. 865-908.






>Journals >Revista Cubana de Medicina >Year 2014, Issue 3
 

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