Papel de las sustancias tóxicas en la muerte súbita cardiaca

  1. Benito Morentina
  2. Luis F. Callado
  3. Soledad García-Hernández
  4. Andrés Bodegas
  5. Joaquín Lucena
Journal:
Revista española de medicina legal: órgano de la Asociación Nacional de Médicos Forenses

ISSN: 0377-4732

Year of publication: 2018

Volume: 44

Issue: 1

Pages: 13-21

Type: Article

DOI: 10.1016/J.REML.2017.05.005 DIALNET GOOGLE SCHOLAR

More publications in: Revista española de medicina legal: órgano de la Asociación Nacional de Médicos Forenses

Sustainable development goals

Abstract

The use of toxic substances is a main risk factor for sudden cardiac death. The most relevant toxic substances are the illegal drugs (especially cocaine), ethanol, tobacco, and doping substances. Additionally, several therapeutic drugs are able to increase the risk for sudden cardiac death. The aim of the present paper is to review the mechanism of action and the main pathological problems induced by toxic substances. Moreover, we provide epidemiological information, underlie the importance of a standardised forensic investigation, and discuss the role of forensic pathology in the prevention of this phenomenon. The possibility of consumption of any drug of abuse should be considered in any case of sudden cardiac death in adolescents, young, or middle-age patients, especially in men. In athletes the use of doping substances should be ruled-out. In patients under psychopharmacological treatment, the putative influence of these drugs should be borne in mind.

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