AbstractSudden cardiac death (SCD) is unexpected death due to cardiac causes that occurs within one hour from the start of symptoms and within 24 h of being seen alive. The prevalence of SCD is significant in India, but the awareness for routine health care screening for early diagnosis and prevention of the risk of SCD is still lacking in general population, particularly in the younger age group. Forensic Pathologists has a unique opportunity to study the SCDs in relating to different organic and functional causes. The authors have conducted this study of such Sudden Cardiac Deaths with the aim to study and analyze the demographic profile and associated risk factors. A total of 100 cases were studied. The age range of the cases included in the study was from 19 years to 68 years with average being 44.3 ± 12.4 years. The male: female ratio was found to be 6.14. 50 cases were smokers, 46 had history of alcohol consumption, 29 cases were hypertensive and 15 cases were diabetic. The non-modifiable risk factor like family history of cardiac arrest was seen in 19 % cases. 51% had evidence of prodromal symptoms and 40% deaths occurred at home. The authors conclude that regular follow up of blood pressure, blood sugar level, blood cholesterol level, changing of life style like cessation of smoking, moderate exercise, low carbohydrate and lipid diets, fruits and vegetable consumption, reducing obesity, and controlling the risk factors would be helpful to eliminate the risk of SCD, particularly in males, and will enhance the life expectancy even if primary atherosclerotic changes have started.
Keywords: Sudden Cardiac Death; Coronary Artery Disease; Atherosclerosis; Cardiac Risk Factors