SUDDEN MORTALITY: MEDICAL AND SOCIAL FACTORS, RISK STRATIFICATION, DIAGNOSIS (LITERATURE REVIEW)

Shvedova Alexandra Andreyevna, Soloveva Irina Anatolievna

INTRODUCTION: Priority regions for the improvement of healthcare are signs of growing existence expectancy of the populace and decreasing the mortality rate. In the analysis of the nosological structure of mortality, the leading place is occupied by pathology of the cardiovascular system. Sudden cardiac death occupies a special place among diseases of the cardiovascular system. This is a pathology that develops suddenly, including in people of working age without severe somatic pathology. To improve demographic indicators, it is necessary to identify high-risk patients in a timely manner and improve the medical care provided to them. The purpose of the literature review on the problem of sudden cardiac death is to form an up-to-date understanding of the current situation, the contribution of this phenomenon to mortality rates. Consideration of the opportunity of the presence of clinical and social elements that may assist discover high-chance sufferers and enhance the availability of hospital treatment to them for you to save you death. CONCLUSION: The article presents a literature review of the databases "eLibrary" and "Pubmed". A large number of factors related to the anatomical and physiological features of the cardiovascular system, concomitant pathology, lifestyle features, bad habits, predisposing socio-economic conditions affecting the occurrence of sudden death have been identified and analyzed. Based on these factors, diagnostic scales have been developed by which the risk of sudden death can be predicted. However, diagnostic scales show their inefficiency and are not used in medical institutions. The further search for risk factors for sudden death, the development of effective, user-friendly scales and their implementation in practical healthcare remains an important task.

Keywords:sudden death; sudden death predictors; medical and social factors; hospital mortality; risk stratification