Cazull II, Hernández HR, Creagh CA

Language: Spanish
References: 0
Page: 155-162
PDF size: 405.05 Kb.

ABSTRACT

Introduction: The diagnosis of sudden death represents a challenge for health sys-tems worldwide.
Objective: To assess trends in the diagnosis of sudden death.
Method: Cross-sectional, retrospective and correlational study in 58 cases diag-nosed with sudden death who were performed an autopsy at the Hospital Agos-tinho Neto of Guantánamo, Cuba, in 2015.
Results: Deceased patients with the above mentioned diagnosis predominated, males (56.9%) at the out-of-hospital setting (55.2%) and due to non-ischemic causes (58.6%). In 51.6%, the diagnosis was not issued as stated in the international no-menclature. The 90% of the sudden cardiac ischemic deaths was produced by acute myocardial infarction and in 88.2% of the non-ischemic cases, global cardio-megaly was observed with hypertrophy or dilatation, or both, of the cardiac cavities. A correlation between the corrected and direct causes of death was found, as well as between the intermediate and basic ones.
Conclusions: The out-of-hospital sudden death prevailed. There was no demon-strated the correlation between the place of death, the age groups and sex with the basic and direct causes of death, but there was an actual relationship between the direct cause of original death and the corrected one, denoting that the sudden death diagnosis was not stated as in the international nomenclature.