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Sudden Death as the Outcome of Cardiac Arrest,in a Portuguese Region:Where Do resuscitation manoeuvres Stand?

World Journal of Cardiovascular Diseases 2015年第8期5卷 227-232页

作者： Rosa Henriques de Gouveia Adriana Martins Duarte Nuno Vieira Forensic Pathology Department Delegacao do CentroInstituto Nacional de Medicina Legal e Ciencias ForensesCoimbraPortugal Medical Faculty Coimbra UniversityCoimbraPortugal

Cardiac Arrest (CA) is a major health problem, due to short and long-term sequel? and to associated mortality. Despite the improvement of out-of-hospital and in-hospital resuscitation manoeuvres, unexpected sudden fatal events occur. The authors reported the features of a series of sudden death (SD) cases where cardiopulmonary resuscitation (CPR) was performed. Files of 1053 medico-legal autopsies, from victims aged ≥18 years-old, were reviewed. Cardiac Arrest leading to Sudden Death were found in 477 cases (45.3%), but only 199 (42%) of these had been submitted to resuscitation manoeuvres. There was an elderly male predominance. Both non-cardiac and cardiac CA/SD causes were present, despite the higher coronary artery disease incidence. Both out-of-hospital and in-hospital events took place. Age, severity of the disease, comorbidities and predominance of out-of-hospital CA were obstacles to successful CPR, leading to SD. Knowing the population characteristics may help to improve Emergency Assistance.

关键词： Cardiac Arrest resuscitation manoeuvres Sudden Death Portugal

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