Fiscal-Málaga Angélica G, Sosa-Cruz Heidi, Calderón-Garcidueñas Ana L, Ruiz-Ramos Rubén, López-Amador Noé, Becerra-Romero Wendy Elena
Instituto de Medicina Forense, Universidad Veracruzana, Boca del Río, Veracruz. Mexico.
Fiscalía General de Justicia del Estado de Sonora, Hermosillo, Sonora. Mexico.
Arch Cardiol Mex. 2019;89(1):154-158. doi: 10.24875/ACME.M19000038.
Sudden death (SD) is a health problem worldwide affecting all strata of the population. The main cause of SD is ischemic heart disease (IHD). The aims of the study were as follows: (i) to analyze the incidence of deaths from IHD in two successive periods (1998-2006 and 2007-2015) to visualize the magnitude of the problem and (ii) to review the official reports of SD in the same lapse of time.
During that period, instantaneous death (ISD) and death that occurred in the first 24 h after the onset of symptoms were analyzed according to the official databases of National Institute of Statistics and Geography (INEGI) and National Health Information System (SINAIS).
There was an under-registration of SD cases in Mexico. Only 1394 cases of ISD were recorded officially in 17 years period of study, whereas it is estimated that 33,000 cases occur annually, exclusively due to sudden cardiac death.
There is a serious gap in the official epidemiological information; placing the real problem in perspective would help to establish the adequate public policies for both, prevention and investigation of the causes of SD in Mexico.
猝死是一个全球性的健康问题，影响着各个阶层的人群。猝死的主要原因是缺血性心脏病（IHD）。本研究的目的如下：（i）分析两个连续时期（1998 - 2006年和2007 - 2015年）缺血性心脏病死亡的发生率，以了解该问题的严重程度；（ii）回顾同一时期内猝死的官方报告。
在此期间，根据国家统计与地理研究所（INEGI）和国家卫生信息系统（SINAIS）的官方数据库，对即刻死亡（ISD）和症状出现后24小时内发生的死亡进行了分析。
墨西哥存在猝死病例登记不足的情况。在为期17年的研究期间，官方仅记录了1394例即刻死亡病例，而据估计，仅心脏性猝死每年就有33000例发生。
官方流行病学信息存在严重缺口；正确认识实际问题将有助于制定适当的公共政策，以预防和调查墨西哥猝死的原因。
