The questionnaire for the relatives of unexpectedly dead people of the workig age according to the GERMINA register

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Abstract

Objective - to survey relatives of suddenly deceased working age persons to clarify the medical history and the circumstances of death. Material and methods. We made a survey 26 first-line relatives (husband/wife, father/mother, brother/sister) of 106 died suddenly working age persons who lived in the Bryansk region and died suddenly in 2012. Standardized questionnaire included questions about the existence of a history of diseases, risk factors for their development, the death rate and clinical signs immediately preceding death. Results. According to the relatives survey the most frequent diseases and conditions of sudden died people were heart failure (46%), myocardial infarction (31%) and/or exertional angina (31%). The high frequency of such risk factors as smoking (81%), physical inactivity (69%), hypertension (65%) and alcohol abuse (42%) were identified. In half of the cases death occurred within 1 hour of the onset of symptoms, in the 17% - instantly, in 22% of the deceased's body was found by relatives within 12 hours from the moment when the dead have seen in a satisfactory condition. The most frequent symptoms immediately preceding death were chest pain (50%), feeling short of breath or dyspnea (44%) and disruption of the heart (44%). Conclusion. The survey of relatives suddenly deceased persons provides additional information about the medical history data and circumstances of the death. It was confirmed the leading role of ischemic heart disease and heart failure in nosological structure of sudden cardiac death rate of working-age population of the Bryansk region, the prevalence of risk factors for cardiovascular disease. Almost 70% of cases death occurs within one hour or in a flash that actualizes the importance of preventive measures, as well as timely and effective first aid.

About the authors

R. M Linchak

State Research Center for Preventive Medicine of the Ministry of Health of the Russian Federation

Email: ruslanlinchak@mail.ru
д-р мед. наук, доц., зам. дир. ФГБУ ГНИЦ ПМ 101000, Russian Federation, Moscow, Petroverigskii per., d. 10, str. 3

A. M Nedbaykin

Bryansk Regional Cardiological Dispensary

канд. мед. наук, глав. врач ГАУЗ БОКД 241050, Russian Federation, Briansk, ul. Oktiabr'skaia, d. 44

E. V Sementsova

State Research Center for Preventive Medicine of the Ministry of Health of the Russian Federation

врач-кардиолог ФГБУ ГНИЦ ПМ 101000, Russian Federation, Moscow, Petroverigskii per., d. 10, str. 3

I. A Yusova

Bryansk Regional Cardiological Dispensary

зам. глав. врача ГАУЗ БОКД 241050, Russian Federation, Briansk, ul. Oktiabr'skaia, d. 44

V. V Strukova

Bryansk Regional Cardiological Dispensary

зам. глав. врача ГАУЗ БОКД 241050, Russian Federation, Briansk, ul. Oktiabr'skaia, d. 44

A. N Kuzovlev

107031, Russian Federation, Moscow, ul. Petrovka, d. 25, str. 2

д-р мед. наук, зав. лаб. ФГБНУ НИИ общей реаниматологии им. В.А.Неговского 107031, Россия, Москва, ул. Петровка, д. 25, стр. 2

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