2014, Number 3
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Rev cubana med 2014; 53 (3)
Smoking and alcohol and coffee consumption as risk factors for sudden cardiac death
Vilches IE, Ochoa MLA, Pernas SY, González LM, Ramos ML, Tamayo VND, Díaz LH
Language: Spanish
References: 19
Page: 325-336
PDF size: 127.60 Kb.
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.
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