Sudden Cardiac Death

Joseph P. Ornato

Epidemiology Pathp.physipJo.qy Ventricular, Tachyarrhythmias

Bradyasystole

PuJseless.EleCtrical.Actlvity

Antidysrhythmic ..Druq... Therapy im,p.!.an.table...C.ard.ioy.er!s.LDeiibril!atoLTh.erapy

Rescue.fromMSCD Ëariy.MÀcce,s,s

EarlinCER

Early.. .Defibrillation EarlynACLS Chapter References

Sudden cardiac death (SCD) due to unexpected cardiac arrest claims the lives of an estimated 250,000 adult Americans each year. Despite advances in resuscitation and emergency medical services (EMS), only about 3 to 8 percent of all cardiac arrest victims survive to leave the hospital neurologically intact. However, there is substantial variability in the odds for survival among various geographic locations, with published survival to hospital discharge for patients with all initial rhythms ranging from 1 to 25 percent.12 and 3 This chapter reviews the epidemiology and pathophysiology of SCD in adults and the strategies to prevent and treat the problem. Sudden infant death syndrome and cardiac arrest in children are discussed in Chap..9 and Chap 10, respectively.

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