Evaluation of Survivors of Pre-Hospital Cardiac Arrest

作者: V. Hombach , H.-W. Höpp , A. Osterspey , H. Deutsch , U. Winter

DOI: 10.1007/978-3-642-72367-4_105

关键词:

摘要: Sudden cardiac death is one of the unsolved problems in clinical cardiology. This syndrome has been reported to be associated most cases (more than 80%) with underlying coronary heart disease, and remaining cardiomyopathies, aortic stenosis, mitral valve prolapse, QT WPW syndrome. From experiences literature patients severe disease poor left ventricular function complex arrhythmias carry a particularly high risk sudden death. In addition, from recent studies detection (abnormal) late potentials within ST segment gain amplified, signal averaged surface ECG seems provide new marker increased irritability CHD patients. One important diagnostic goals candidates assessment vulnerability. may achieved by recording arrhythmias, diastolic segment, provocation repetitive response programmed stimulation. The identification characterization successfully resuscitated pre-hospital arrest victims develop fatal event constitutes major problem. Based on our own profile those SD outlined as follows: Bradycardia ofless 60 bpm after successful resuscitation, atrio- or intraventricular block, triple vessel low ejection fraction contraction abnormalities, presence potentials, inducibility response.

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