SUDDEN CARDIAC DEATH

Authors

  • Waqar A. Mufti

Abstract

Sudden cardiac death (SCD) may be defined as unexpected death, usually instantaneousbut uniformly fatal within one hour of onset of the terminal symptoms. If death is unwitnessed, theindividual should have to have been seen alive in the past 24 hours for the death to be considered asSCD.1 The highest incidence of SCD is in patients with coronary artery disease (CAD).Approximately 40% of patients may die due to acute coronary thrombosis and never reach hospital.In patients who survive the acute phase of myocardial infarction, the mortality rate in the first yearis 1-20% with 50 of these deaths being sudden.

References

Vlay S C. Ed. Manual of Cardiac Arrhythmias. Lillie, Brown and Co. Boston, 1988.

Kannel W B, Sorlie P, McNamara P M. Prognosis after initial myocardial infarction: The Framingham Study.

Am J Cardiol, 1979; 44: 53-59.

Sobel B E, Julian D G, Hugcnholtz P G. Eds. Perspectives in Cardiology. Current Medical Literature Ltd. London,

Cobb L A, Werner J A, Trobaugh G B. Sudden Cardiac Death-outcome of resuscitation, management and future

directions. Modem Concepts of Cardiovascular Diseases, 1980; XLIX: 37-42.

Singer D H, Martin G S, Majid N, et al. Low heart rate variability and sudden cardiac death. J Electrocardiol,

(Suppl): S46-55.

Bayes de Luna A B, Doumel P, Leclerqu J F. Ambulatory sudden cardiac death: Mechanism of production of

fatal arrhythmias on the basis of data from 157 cases. Am Heart J, 1989; 117: 151-59.

Daly L E, Hickey N, Graham I N, Mulcahy R. Predictors of sudden death up to 18 years after a First attack of

unstable angina or Ml. Br Heart J, 1987; 58: 567-71.

Davies M J and Thomas A. Thrombosis and acute artery lesions in sudden cardiac ischemic death. New Engl J

Med, 1984; 310: 1137-40

Mukherji J, Rude R E, Poole W K, et at. Risk factors for sudden death after acute MI: Two years follow up. Am

J Cardiol, 1984; 54: 31-36.

Messeri F H, Ventura H O, Elizardi D J, et al. Hypertension and sudden death: Increased ventricular ectopic

activity in left ventricular hypertrophy. Am J Med, 1984; 77: 18-22.

Schildkraut J M, Myers R 11, Couples L A, et al. Coronary risk associated with age and sex of parental heart

disease in the Framingham study. Am J Cardiol, 1989; 64: 555-59.

McCrea W A, Hunter E, Wilson C. Integration of ambulance staff trained in cardiopulmonary resuscitation with

a medical team providing prehospital coronary care. Br Heart J, 1989; 62: 417-20.

Koster R W and Dunning a J. Intramuscular lidocaine for prevention of lethal arrhythmias in the prehospitalization phase of acute Ml. New Engl J Med, 1985; 313: 1105-1110.

Ruskin J N. The cardiac arrhythmia suppression trial (CAS'I"). New Engl J Med, 1989; 321: 6: 386-388.

Issue

Vol. 7 No. 1 (1995): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

REVIEW ARTICLE

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