Over an 11-year period, autopsies were performed on 957 of 1038 nontraumatic deaths in the Emergency Department of the Central Hospital in Ferrara, Italy.
Of these 957 cases, 732 (76.5%) met criteria for sudden death.
In 100 (14%) of these cases, the death could be attributed to pulmonary embolism (55 cases), stroke (17), or rupture of aortic aneurysm (28).
Acute myocardial infarction accounted for 403 (55%) of all sudden deaths.
Severe coronary artery disease was found in 340 (84%) of these 403 deaths, with plaque fissuring or thrombi in 189 or 151 cases, respectively.
Among the 229 sudden deaths for whom no immediate cause could be determined (31% of the total population), all had evidence of heart disease : 147 individuals had severe coronary artery disease, with plaque fissuring or thrombi found in 72 or 43, respectively.
The remaining cases with no immediate cause of death had evidence of a cardiomyopathy (61) or valvular disease (21).
We conclude that acute myocardial infarction accounts for the majority of cases of nontraumatic sudden death in our Emergency Department.
Altogether, 84% of these patients had severe coronary artery disease.
In approximately one-third of cases for whom no immediate cause of sudden death could be determined, all had evidence of heart disease, and about two-thirds had severe coronary artery disease.
Mots-clés Pascal : Mort subite, Autopsie, Cardiopathie coronaire, Service hospitalier, Urgence, Homme, Etiologie, Cause, Epidémiologie, Italie, Europe, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Sudden death, Autopsy, Coronary heart disease, Hospital ward, Emergency, Human, Etiology, Cause, Epidemiology, Italy, Europe, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0459963
Code Inist : 002B30A01A2. Création : 10/04/1997.