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Research Articles

Spectrum of sudden cardiac death in Nepalese population - an institutional based study

Authors:

A. Chaudhary ,

Kathmandu Medical College, Kathmandu, NP
About A.
Lecterer at the Kathmandu Medical College.
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T. Kadel,

Institute of Medicine, Kathmandu, NP
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Department of Forensic Medicine
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H. Wasti,

Institute of Medicine, Kathmandu, NP
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Department of Forensic Medicine
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P. K. Shrestha

Institute of Medicine, Kathmandu, NP
About P. K.
Department of Forensic Medicine
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Abstract

Introduction: Sudden cardiac death (SCD) is non traumatic deaths occurring within 24 hours from the onset of symptom due to a cardiac cause. This study was designed with an objective to evaluate spectrum of SCD in the Nepalese community.

 

Materials and Methods: This was a prospective analytical study, done at an autopsy center in Nepal, over one year. All SCD’s were verified using histopathological examination. Analysis was done using SPSS, Version-20. Mean and standard deviation was calculated for age. The frequency and percentage were calculated for gender, and cause of death. Stratification was done for age and post-stratification Chi square test or Fisher exact test was used.

 

Results: There was a total of 51 cases, with 44 (86.3%) males and 7 (13.7%) females. Peak death was between 40 –60 years. The most common cause of death was coronary artery diseases (CAD) (62.7%). There was significant association of gender with the different spectrum of SCD, with male gender having tendencies towards CAD and cardiomyopathy (CM).

 

Conclusion: Coronary artery disease is the commonest cause of sudden cardiac deaths, followed by cardiomyopathy. Both these diseases had significantly increased tendencies towards male gender.
How to Cite: Chaudhary, A., Kadel, T., Wasti, H. and Shrestha, P.K., 2020. Spectrum of sudden cardiac death in Nepalese population - an institutional based study. Sri Lanka Journal of Forensic Medicine, Science & Law, 11(2), pp.26–33. DOI: http://doi.org/10.4038/sljfmsl.v11i2.7813
Published on 17 Dec 2020.
Peer Reviewed

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