Sudden cardiac deaths- An autopsy analysis from a tertiary care centre in coastal South India

Kanchan, Tanuj and Rastogi, Prateek and *, Nithin Kumar and Singh , Manisha and *, Tripti and Ansari, Shamira Naz (2013) Sudden cardiac deaths- An autopsy analysis from a tertiary care centre in coastal South India. International Journal of Medical Toxicology & Legal Medicine, 16 (1). pp. 1-2.

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Abstract

Cardiovascular diseases are reportedly the most common cause of sudden natural deaths. An autopsy based retrospective research was conducted to determine the causes and associated epidemiological aspects of sudden cardiac deaths in Mangalore, South India. The study was conducted at the Department of Forensic Medicine, Kasturba Medical College, Mangalore. All the cases of sudden deaths recorded in the autopsy file during January 2005 and December 2008 were included in the study and the records were studied in detail. A total of 2568 autopsies were conducted during the study period and 271 cases were classified as sudden deaths. Sudden cardiac deaths constituted of 35.4% of the total sudden deaths during the study period (n=96). Males were predominantly affected (n=89, 92.7%). The age of the victims varied between 19 and 80 years; mean age of the victims being 49.84 ± 13.4 years. The majority of the deaths were reported in the 5th and 6th decade of life (n=52, 54.7%). Mean BMI was 20.7 ± 3.7 kg/m2 in males and 22.5 ± 4.2 kg/m2 in females. More than 50% of the sudden cardiac deaths were reported during the months of February and May. The weight of the heart varied between 200 and 560 grams (Mean=332.8 ± 81.2 grams). Ishaemic heart diseases remained the most common cause of sudden cardiac deaths (n=78, 81.3%). Atherosclerotic changes were observed in the great vessels in most of the cases (n=79). Cardiac causes are responsible for most of the sudden natural deaths in this region. Medicolegal autopsies are an important source of epidemiological data that should effectively be used in planning the preventive strategies. Modifying the stressful life style and screening those at high risk for timely medical interventions are the possible measures that need to be emphasized on to prevent such deaths.

Item Type: Article
Uncontrolled Keywords: Sudden death; Sudden Cardiac death; Coronary artery diseases; Autopsy; South India
Subjects: Medicine > KMC Mangalore > Community Medicine
Medicine > KMC Mangalore > Forensic Medicine
Depositing User: KMCMLR User
Date Deposited: 30 Dec 2013 06:34
Last Modified: 30 Dec 2013 06:34
URI: http://eprints.manipal.edu/id/eprint/138120

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