Perfil de riesgo vascular aterosclerótico del fallecido por muerte cardíaca súbita

Objetivo: determinar el perfil de riesgo vascular aterosclerotico en los fallecidos por muerte cardiaca subita atendidos en el Hospital Julio Trigo Lopez en el periodo 2007-2011. Metodos: estudio observacional, analitico, de casos y controles no pareados. Resultados: algunos factores de riesgo vasculares ateroscleroticos se expresaron de forma significativa en el grupo de fallecidos por causas cardiacas subitas (hipertension arterial, tabaquismo, obesidad, cardiopatia isquemica, hipertrofia ventricular izquierda, alcoholismo). Se corroboro que la existencia de 3 o mas factores eleva exponencialmente el riesgo de muerte cardiaca subita sobre la mortalidad cardiovascular total. Se hallo presencia significativa de lesiones ateroscleroticas coronarias en ambos grupos, que determinaron la aparicion de trombosis coronaria y/o infarto agudo del miocardio, con predominio en las muertes subitas. Conclusiones: no existieron factores de riesgo especificos para la muerte cardiaca subita. Algunos de estos mostraron un incremento en la probabilidad para este tipo de evento. La busqueda de un perfil de riesgo en fallecidos de muerte cardiaca subita debe ir orientada al diseno de investigaciones donde se incluyan las estadisticas vitales de mortalidad global y no por causas especificas (cardiovasculares) Objective: to determine the atherosclerotic vascular risk profile in patients who died of sudden cardiac death, treated in Julio Trigo Lopez 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)