Page 60 - COVID-19-Mortality-review-in-Malaysia-and-updates-on-clinical-management-of-COVID-19

Cause of Death

Based on the death certificates, about 81% of the cause of death was contributed by

pneumonia. When pneumonia set in, they started to have multi-organ failure and
Acute Respiratory Distress Syndrome (ARDS). Having said that, there were a few

incidences, around 10% of the patients died due to acute coronary syndrome (ACS).
Perhaps this was due to the complications of the disease itself or due to the primary
disease. Most of the patients have multiple comorbid conditions such as

hypertension, Diabetes Mellitus and obesity. Some of them were well known cases of
heart diseases or coronary artery diseases. There were about 4% who died due to
malignancy, and a few isolated cases whereby the cause of death was due to acute

pulmonary oedema, hanging, severe dehydration, ruptured abdominal aortic
aneurysm (AAA) and one was unknown cause. The unknown was due to the fact that
we do not have any information of the deceased.