Intrahospital Sudden Cardiac death (SCD) at Internal medicine Clinic of university Clinical Hospital mostar

Aim: Evaluation of general and specific sudden cardiac death (SCD) mortality and comorbidity which advances to SCD in patients of Internal Clinic of UCH Mostar in period from 2000 to 2009. Methods and Results: We analysed 2547 death of patients, part of general population of 26.471 hospitalised over this time period. Registered general mortality was 9,6% , specific SCD mortality was 5,85% ,and hospitalised sudden death occurred in 1548 or 60,78% patients. Factors causing death of SCD patients in observed period were as follows: CHF was present in 368 or 23,8%, death after AIM was 344 or 22,2%, ICV was 212 or 13,7%, Shock cardiogenes was 200 or 12,9%, AHF with oedema pulmonum (145 or 9,4%), cardiac arrest was121 or 7,8%, 89 patients experienced sudden death on the street and were transported to Clinic, electrical instability with malignant arrhythmias VF/ VT was found in 22 or 1,4%, dissection of aortae 16 or 1,03%, thrombosis a. mesentericae in 12 or 0,78%, and circumstances and end-presentation of death. Age structure was changing, with increase in numbers of younger patients. The results reflects general trend in SCD in grater Mostar region and whose inhabitants gravitate toward our Clinic. Conclusion: There is continuous increase in SCD in our patients and in the numbers and comorbidities, which explain existing burden. Although incidence of SCD increases with age, existed continuous trend of increase in SCD in the young people accelerates over time.