Sudden cardiac death in Nigerians - The Ile - Ife experience

Rotimi, O; Fatusi, AO; Odesanmi, W. O.

doi:10.4314/wajm.v23i1.28076

Cited by 27 publications

(42 citation statements)

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“…In fact, a previous study carried out in the same center as ours showed that hypertensive heart disease was the cause of sudden unexpected natural death in 82% of cases, of which only 18% were previously diagnosed [12]. Although coronary artery disease is still relatively uncommon among Nigerians and does not contribute significantly to morbidity and mortality, this study seems to suggest that its incidence may be increasing within the Nigerian population, contrary to previously held views [12,18,19]. This may simply be a reflection of the changing lifestyles of the Nigerian population in response to strong Western cultural influences [20].…”

Section: Discussioncontrasting

confidence: 54%

An autopsy review of sudden unexpected natural deaths in a suburban Nigerian population

Pelemo

Sabageh

Komolafe

et al. 2014

Popul Health Metrics

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Background: The pattern of diseases causing sudden unexpected natural deaths is a function of the prevalent disease pattern in the general population. This pattern appears to be changing in Nigeria in response to changing demographics and lifestyle. Methods: This was a descriptive retrospective autopsy-based review of cases of sudden unexpected natural deaths seen at the Obafemi Awolowo University Teaching Hospitals Complex in Ile-Ife, Nigeria (OAUTHC) over a 10-year period. Analysis was done for differences in proportion using Chi square (p is significant at <0.05) by SPSS version 15. Results: Sudden unexpected natural deaths accounted for 13.4% of all medico-legal autopsies. The male to female ratio was 2.1:1, and the mean age was 43.1 years ± 19.5 SD. Cardiovascular (28.3%), respiratory (18.2%), and central nervous system (12.6%) disorders were the major groups of causes. About 64.4% of cardiovascular deaths were due to hypertensive heart disease. Bacterial pneumonia, intracerebral haemorrhage, and breast carcinoma accounted for 34.4%, 60.0%, and 52.6% of respiratory, central nervous system, and cancer-related deaths respectively. Infectious causes predominated in all age groups below 40 years and above 70 years while hypertensive disorders predominated between 40 and 70 years. Only 16.9% of cases occurred while the patient was admitted to the hospital.

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Section: Discussioncontrasting

confidence: 54%

An autopsy review of sudden unexpected natural deaths in a suburban Nigerian population

Pelemo

Sabageh

Komolafe

et al. 2014

Popul Health Metrics

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“…This would help to prevent sudden death as hypertension has been identified as the commonest killer of adults in Nigeria. [18] Age-related maculopathy was also seen. This is known to lead to low vision and blindness among adults.…”

Section: Discussionmentioning

confidence: 92%

Prevalence and causes of ocular morbidity seen among rural adult population of Osun State, southwest Nigeria

Isawumi

Hassan

Asekun-Olarinmoye

et al. 2013

Ann Trop Med Public Health

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“…Further, the majority of people are unaware of their hypertension, so remain untreated until complications set in or they die suddenly. Rotimi et al, in their two series on sudden cardiac death, reported that only 18.0% and 30.3% were previously diagnosed with hypertension 10,11. There is a low level of awareness of hypertension in the Nigerian population.…”

Section: Discussionmentioning

confidence: 99%

“…A study done in Ile-Ife, South West Nigeria over a decade ago that focused on sudden cardiac death found that 82.0% of the deaths were caused by hypertensive heart disease with only 4.0% were attributable to acute myocardial infarction 10. The same group in another study on sudden death some years later found that hypertensive heart disease was still responsible for 83.5% of the deaths, of which only 30.3% were previously diagnosed, and ischemic heart disease and cardiomyopathies were each responsible for 6.3% of the deaths 11. The Jos experience in North Central Nigeria also showed that cardiovascular death was responsible for 63.0% of all sudden natural deaths, and the causes of death were heart failure (46.0%), cerebrovascular disease (32.0%), pulmonary embolism (13.6%), and myocardial infarction (9.0%) 12.…”

Section: Introductionmentioning

confidence: 97%

Pattern of sudden death at Ladoke Akintola University of Technology Teaching Hospital, Osogbo, South West Nigeria

Akinwusi¹,

Komolafe²,

Olayemi³

et al. 2013

VHRM

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BackgroundThe purpose of this study was to determine the etiology and epidemiologic characteristics of sudden death at Ladoke Akintola University of Technology (LAUTECH) Teaching Hospital, South West Nigeria.MethodsThis was a retrospective descriptive study of all cases of natural unexpected death, either occurring out of hospital or less than 24 hours after admission to LAUTECH Teaching Hospital, over a nine-year period from January 2003 to December 2011. Data were generated from information in the case notes and autopsy reports for these cases.ResultsSudden death accounted for 29 (4.0%) of 718 adult medical deaths and 1.0% of all adult medical admissions. Out-of-hospital deaths occurred in 72.4% of cases. The mean age of the patients was 46.8 ± 11.5 (range 25–74) years. The male to female ratio was 6.25:1. Cardiovascular disease were the most common cause of death (51.7%), followed by respiratory disease (20.7%), pulmonary thromboembolism (10.4%), central nervous system disease (13.8%), gastrointestinal disorders (13.8%), severe chemical/drug poisoning (13.8%), and combined cardiovascular and central nervous system disease (13.8%). Hypertension-related causes were responsible for 14/29 (48.3%) of the sudden deaths. Hypertensive heart disease accounted for 86.7% of the cardiovascular deaths, hypertensive heart failure accounted for 73.3%, whilst all heart failure cases accounted for 80.0%. Left ventricular hypertrophy was present in 69.2% of the patients with hypertensive heart disease. Moderate to severe atheromatous changes occurred in the aorta in 38.5% of patients aged ≥50 years. No case of myocardial infarction was found.ConclusionHypertensive heart disease and hypertension-related disorders are the most common causes of sudden death in South West Nigeria, so effective public health strategies should be channeled towards prevention, detection, and treatment of hypertension.

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Sudden cardiac death in Nigerians - The Ile - Ife experience

Cited by 27 publications

References 0 publications

An autopsy review of sudden unexpected natural deaths in a suburban Nigerian population

An autopsy review of sudden unexpected natural deaths in a suburban Nigerian population

Prevalence and causes of ocular morbidity seen among rural adult population of Osun State, southwest Nigeria

Pattern of sudden death at Ladoke Akintola University of Technology Teaching Hospital, Osogbo, South West Nigeria

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