Abstract 18773: Coronary Heart Disease in Premature Sudden Cardiac Death: An Autopsy Study of Asian Population

Background: The clinical significance of coronary heart disease (CHD) as a potential cause of premature sudden cardiac death (SCD) has been reported. However, true prevalence of CHD in premature SCD remains unclear. We aim to identify the prevalence of CHD as a cause of premature SCD in Asian population. Objective: To evaluate the prevalence of CHD in premature SCD in Asian population. Methods: The medical examiner reports from Bangkok, Thailand, performed in Department of Forensic Pathology, Ramathibodi Hospital, Mahidol University, between January 2010 to December 2014, were reviewed. External causes, age under 18 or over 45 years old, malignancy, intoxication, and inconclusive autopsies were excluded. Premature SCD was defined as unexpected death due to a cardiac causes within 24 hours of being seen well in young adult under 45 years old. Conventional risk factors were reviewed among SCD and compared between coronary heart disease (CHD) and non-coronary heart disease (non-CHD). Results: Among 1950 medi...