Nocturnal enigmas: a systematic review of bangungot and sudden death during sleep

Robert A. Bancod; Abhijit Gogoi; Dennis Buenafe; Aboubacar Kaka

doi:10.18203/2349-2902.isj20250573

Authors

Robert A. Bancod Department of Clinical Sciences, University of Fiji, Lautoka, Fiji
Abhijit Gogoi Department of Clinical Sciences, University of Fiji, Lautoka, Fiji https://orcid.org/0000-0002-1959-6129
Dennis Buenafe Department of Clinical Sciences, University of Fiji, Lautoka, Fiji
Aboubacar Kaka Department of Basic Sciences, University of Fiji, Lautoka, Fiji

DOI:

https://doi.org/10.18203/2349-2902.isj20250573

Keywords:

Bangungot, Sunds, Brugada syndrome, Fiji islands, Cardiovascular health, Sudden unexplained nocturnal death syndrome

Abstract

Bangungot and sudden unexplained nocturnal death syndrome (SUNDS) remain complex phenomena at the intersection of culture and medicine. This systematic review investigates their epidemiological prevalence, cultural interpretations and genetic foundations. We highlight the urgent need for culturally sensitive public health interventions by synthesizing Southeast Asia and Fiji's findings. Key findings indicate Brugada Syndrome, associated with genetic mutations such as SCN5A, as a primary medical explanation, while environmental and lifestyle factors further elevate risk. Integrating cultural narratives with scientific research can improve strategies to address and reduce sudden nocturnal deaths.

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