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Niger Med J. 2019 Jan-Feb;60(1):13-16. doi: 10.4103/nmj.NMJ_6_19.

Hypertension and Sudden Unexpected Deaths: An Autopsy Study of Four Hundred and Seventy-Seven Brought-in-Dead in a Tertiary Health Center.

Nigerian medical journal : journal of the Nigeria Medical Association

Francis Adedayo Faduyile, Sunday Sokunle Soyemi, Daniel Ayodele Sanni, Kikelomo Ololade Wright

Affiliations

  1. Department of Pathology and Forensic Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.
  2. Department of Pathology and Forensic Medicine, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.
  3. Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.

PMID: 31413429 PMCID: PMC6676999 DOI: 10.4103/nmj.NMJ_6_19

Abstract

INTRODUCTION: Hypertension is an important and major public health concern globally. One of the major causes of sudden death worldwide is hypertension. This study is to present the morphological pattern of deaths at autopsy of those patients who were brought-in-dead (BID) and who had hypertensive heart disease (HHD) as the underlying illness.

MATERIALS AND METHODS: This is a 6-year retrospective autopsy study of BID patients as a result of HHD seen at our department between January 1, 2010, and December 31, 2015. The autopsy findings and data retrieved were analyzed using IBM Statistical Package for Social Sciences version 20. Test for statistical significance was set at

RESULTS: A total of 477 deaths (44%) as a result of HHD were recorded out of the 1016 BID during the period under study. The age ranged from 21 to 92 years with a mean age of 52 ± 14.0 years and a male to female ratio of 1.8:1. The 5

CONCLUSIONS: Acute left ventricular heart failure was the most common cause of sudden death as a result of hypertension and was followed by intracerebral hemorrhage. In the female gender, sudden deaths were most common in the 6

Keywords: Acute left ventricular failure; intracerebral hemorrhage; myocardial infarction

Conflict of interest statement

There are no conflicts of interest.

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