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Med Arch. 2010; 64(5): 274-277

intrahospital Sudden Cardiac death (SCd) at internal medicine Clinic of university Clinical Hospital mostar

Emir Fazlibegovic, Mustafa Hadziomerovic, Fadila Fazlibegovic, Samra Medjedovic, Mili Cehajic, Smiljka Mitrinovic.

Aim: Evaluation of general and specific sudden cardiac death (SCD)mortality and comorbidity which advances to SCD in patients of InternalClinic of UCH Mostar in period from 2000 to 2009. Methodsand Results: We analysed 2547 death of patients, part of general populationof 26.471 hospitalised over this time period. Registered general mortalitywas 9,6% , specific SCD mortality was 5,85% ,and hospitalised sudden deathoccurred in 1548 or 60,78% patients. Factors causing death of SCD patientsin observed period were as follows: CHF was present in 368 or 23,8%, deathafter AIM was 344 or 22,2%, ICV was 212 or 13,7%, Shock cardiogenes was200 or 12,9%, AHF with oedema pulmonum (145 or 9,4%), cardiac arrestwas121 or 7,8%, 89 patients experienced sudden death on the street and weretransported to Clinic, electrical instability with malignant arrhythmias VF/VT was found in 22 or 1,4%, dissection of aortae 16 or 1,03%, thrombosisa. mesentericae in 12 or 0,78%, and circumstances and end-presentation ofdeath. Age structure was changing, with increase in numbers of younger patients.The results reflects general trend in SCD in grater Mostar region andwhose inhabitants gravitate toward our Clinic. Conclusion: There is continuousincrease in SCD in our patients and in the numbers and comorbidities,which explain existing burden. Although incidence of SCD increases withage, existed continuous trend of increase in SCD in the young people acceleratesover time.

Key words: Sudden cardiac death, mortality, comorbidity.

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