Occult Overdose Masquerading as Sudden Cardiac Death: From the POstmortem Systematic InvesTigation of Sudden Cardiac Death Study

• DOI: 10.7326/m20-0977
• Publication Date: 2020-08-10T21:01:34Z
• Authors: Robert M. Rodriguez; Juan Carlos C. Mo...; Daniel Repplinger; Shiktij Dave; Ellen Moffatt; Zian H. Tseng
• Keywords: Occult; Sudden Death

Letters1 December 2020Occult Overdose Masquerading as Sudden Cardiac Death: From the POstmortem Systematic InvesTigation of Death StudyRobert M. Rodriguez, MD, Juan Carlos C. Montoy, Daniel Repplinger, Shiktij Dave, BA, Ellen Moffatt, and Zian H. Tseng, MASRobert MDUniversity California, San Francisco, California (R.M.R., J.C.M., D.R., S.D., Z.H.T.), BAUniversity MDOffice Chief Medical Examiner, City County (E.M.), MASUniversity Z.H.T.)Author, Article, Disclosure Informationhttps://doi.org/10.7326/M20-0977 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: deaths have increased dramatically in past decade become leading cause injury-related death nationally (1). Although many overdose cases are obvious, with history ingestion or evidence drug use at scene, others may present occultly out-of-hospital cardiac arrest (OHCA), an emergency medical services (EMS) primary impression but no overt signs overdose. Recognition characterization these occult critical for accurate estimates mortality inform public health measures, especially context ongoing opioid epidemic.Objective: To characterize ...References1. Scholl L, Seth P, Kariisa M, et al. Drug opioid-involved - United States, 2013-2017. MMWR Morb Mortal Wkly Rep. 2018;67:1419-1427. [PMID: 30605448] doi:10.15585/mmwr.mm675152e1 CrossrefMedlineGoogle Scholar2. Tseng ZH, Olgin JE, Vittinghoff E, Prospective countywide surveillance autopsy sudden death: POST SCD study. Circulation. 2018;137:2689-2700. 29915095] Scholar3. Rudd RA, David F, Increases 2010-2015. 2016;65:1445-1452. 28033313] doi:10.15585/mmwr.mm655051e1 Scholar4. Opioid Surveillance Dashboard. Welcome Accessed https://discovery.cdph.ca.gov/CDIC/ODdash/ on 9 2019. Google Scholar5. National Center Health Statistics, Centers Disease Control Prevention. NCHS data drug-poisoning deaths. www.cdc.gov/nchs/data/factsheets/factsheet-drug-poisoning.htm Scholar Author, InformationAffiliations: University Z.H.T.)Office (E.M.)Grant Support: By grant R01 HL102090 from Heart, Lung, Blood Institute, Institutes Health, Dr. Tseng.Disclosures: Disclosures can be viewed www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-0977.Reproducible Research Statement: Study protocol Statistical code: Not available. Data set: Analytical set available (e-mail, [email protected]ucsf.edu).Corresponding Author: MAS, Section Electrophysiology, Division Cardiology, 500 Parnassus Avenue, MUE-433, Box 1354, CA 94143-1354; e-mail, protected]ucsf.edu.This article was published Annals.org 11 August 2020. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byMultiple substance blood pressure women experiencing homelessnessImplementation a Leave-behind Naloxone Program Francisco: A One-year ExperienceFactors Affecting Yield Genetic Testing Deaths Young IndividualsAntemortem Post-Mortem Characteristics Lethal Mitral Valve Prolapse Among All Countywide DeathsNAloxone CARdiac Arrest Decision Instruments (NACARDI) targeted antidotal therapy precipitated arrestOpioid Undercounted 1 2020Volume 173, Issue 11Page: 941-944KeywordsAddictionAutopsyDrugsEmergency servicesHeartMortalityOpioidsPlagueSudden deathToxicology ePublished: 2020 Published: Copyright & PermissionsCopyright © by American College Physicians. Rights Reserved.PDF downloadLoading ...