Clinical characteristics and causes of death in 39 cases of chronic Keshan disease
10.3760/cma.j.cn231583-20210818-00266
- VernacularTitle:39例慢型克山病死亡病例的临床特征和死亡原因分析
- Author:
Ping WANG
1
;
Ping LI
;
Jianyun SHAO
;
Jianye KANG
Author Information
1. 甘肃省泾川县人民医院心内科，平凉 744300
- Keywords:
Keshan disease;
Clinical characteristics;
Sudden cardiac death;
Heart failure;
Cardiogenic shock
- From:
Chinese Journal of Endemiology
2022;41(12):1004-1007
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical characteristics and causes of death of chronic Keshan disease cases.Methods:A retrospective analysis was conducted on the last clinical data of 39 death cases of chronic Keshan disease who were repeatedly hospitalized in Jingchuan County People's Hospital from March 2016 to August 2020 before their death, including gender, age, course of disease, clinical symptoms and signs, chest X-ray, electrocardiogram, cardiac echocardiography, causes of death, etc., and analysis was made on the clinical characteristics related to the death of chronic Keshan disease cases.Results:Among the 39 death cases of chronic Keshan disease, 27 cases (69.2%) were male and 12 cases (30.8%) were female. The age was (62.64 ± 8.63) years old, and the median course of disease was 5 years. Dyspnea [37 cases (94.9%)] and edema [33 cases (84.6%)] were the main clinical symptoms. All cases had varying degrees of cardiac enlargement, pulmonary congestion signs, and abnormal changes in electrocardiogram. Among the causes of death, 18 cases (46.2%) were sudden cardiac death, 11 cases (28.2%) were heart failure, 5 cases (12.8%) were cardiogenic shock, and 3 cases (7.7%) were heart failure combined with cardiogenic shock, and 2 cases (5.1%) had other causes.Conclusion:Dyspnea and edema are the main clinical characteristics of death cases of chronic Keshan disease, sudden cardiac death, heart failure and cardiogenic shock are the three common causes of death.
