Sudden Cardiac Death in Patients Under 49 Years Including Adolescents: A single-centre study from Oman.
| Autor: | Maddali MM; Departments of Cardiac Anesthesia and., Al Habsi AS; College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman., Al Dhamri MJ; College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman., Jayapal SK; Centre of Studies & Research, Ministry of Health, Muscat, Oman., Al Kindi HN; Division of Cardiothoracic Surgery, Department of Surgery, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman.; Cardiothoracic Surgery, The National Heart Center, The Royal Hospital, Muscat, Oman. |
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| Jazyk: | angličtina |
| Zdroj: | Sultan Qaboos University medical journal [Sultan Qaboos Univ Med J] 2023 Dec; Vol. 23 (Spec Iss), pp. 16-21. Date of Electronic Publication: 2023 Nov 30. |
| DOI: | 10.18295/squmj.12.2023.082 |
| Abstrakt: | Objectives: This study aimed to identify the incidence of sudden cardiac death (SCD0 in adult patients under the age of 49 years, including adolescents with an out-of-hospital cardiac arrest that presented to the emergency department of a tertiary care hospital. Methods: This retrospective cross-sectional study was conducted at the Royal Hospital, Muscat, Oman, between January 2015 and December 2019. All patients with out-of-hospital cardiac arrest were enrolled. The incidence of SCD was evaluated. Information about the patient's demographic data, the site of cardiac arrest, the mode of arrival, the duration of pre-arrest symptoms and if cardiopulmonary resuscitation was performed was gathered. Survival data at 3-year follow-up was obtained. Results: A total of 117 out of 769 (15%) patients met the criteria for SCD. Male gender was predominant, with a median age of 33 years. In about 79.5% of the patients, cardiac arrest was witnessed. Only 43 patients (36.8%) received cardiopulmonary resuscitation at the arrest site; 21 patients (17.9%) had a shockable rhythm and 96 patients (82.1%) had a non-shockable rhythm. Spontaneous circulation was returned in 15 patients (12.8%). Nine patients (7.7%) were discharged from the hospital and 8 (6.8%) survived at least 36 months. Conclusion: The study findings indicate the prevalence of SCD among patients who experienced a cardiac arrest outside the hospital. Unfortunately, only a small number of patients were able to survive in the long term. By implementing preemptive screening for individuals and their families, it may be possible to prevent SCD and improve outcomes for those affected. Competing Interests: CONFLICT OF INTEREST: The authors declare no conflicts of interest. (© Copyright 2023, Sultan Qaboos University Medical Journal, All Rights Reserved.) |
| Databáze: | MEDLINE |
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