What does sudden cardiac death mean?

Written by Li Hai Wen
Cardiology
Updated on September 17, 2024
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Sudden cardiac death refers to the sudden mortality caused by heart diseases, and the reasons for sudden cardiac death primarily include the following aspects:

First, structural heart diseases, such as coronary heart disease and acute myocardial infarction; acute myocardial infarction is currently the most common cause of sudden cardiac death.

Second, certain ion channel diseases, such as Brugada syndrome, or long QT syndrome. These types of ion channel diseases often coincide with malignant ventricular arrhythmias, such as torsade de pointes ventricular tachycardia or ventricular fibrillation, thus leading to the occurrence of these fatal phenomena.

Third, severe arrhythmias, such as severe bradycardia or ventricular tachycardia related to structural heart disease, often trigger malignant ventricular arrhythmias, leading to death.

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Written by Li Qiang
Intensive Care Unit
1min 19sec home-news-image

The difference between cardiogenic shock and sudden cardiac death

Cardiogenic shock is caused by a decrease in cardiac contractile function, leading to reduced ejection, lowered blood pressure, and resulting in ischemia and hypoxia of tissue cells. It is due to the reduced contractile function of the heart, which may be caused by coronary issues such as coronary ischemia, or by severe arrhythmias such as severe ventricular tachycardia or fibrillation, or by acute heart failure. Cardiogenic sudden death occurs when cardiogenic shock progresses further, leading to the cessation of the heartbeat. The main difference between cardiogenic sudden death and cardiogenic shock is that during cardiogenic sudden death, the heartbeat has definitely stopped completely, or there is only ventricular fibrillation, at which point it is called cardiogenic sudden death. During cardiogenic shock, the heart still retains some contractile function, meaning the heart still has some autonomous beating capability. Compared to cardiogenic sudden death, it is still an early, reversible stage of cardiogenic sudden death. Once it progresses to cardiogenic sudden death, immediate cardiopulmonary resuscitation is necessary, and at this point, the mortality rate greatly increases.

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Written by Chen Guang Yin
Cardiology
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Is cardiopulmonary resuscitation effective for sudden cardiac death?

Is cardiopulmonary resuscitation useful for sudden cardiac arrest? Of course, it is useful. The emergency measure for sudden cardiac arrest is to perform cardiopulmonary resuscitation. If the patient receives CPR within four minutes, they are very likely to survive. If there is a delay beyond four minutes, the patient’s life might still be prolonged if resuscitated, but they might suffer brain death and potentially become vegetative. Therefore, it is crucial to administer immediate cardiopulmonary resuscitation to a patient experiencing sudden cardiac arrest, as this is the primary method of resuscitation.

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Written by Chen Guang Yin
Cardiology
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Is sudden cardiac death hereditary?

The majority of sudden cardiac deaths are caused by acute and extensive myocardial infarction, with some caused by malignant arrhythmias. Coronary atherosclerotic heart disease has a genetic history. Patients with such a family history, especially those with early-onset heart disease family history—that is, a family history of heart disease before the age of 50—should be given high attention. Heart disease has a genetic predisposition, and since sudden cardiac death is a type of heart disease, it also has a genetic predisposition.

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Written by Xie Zhi Hong
Cardiology
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The main cause of sudden cardiogenic cardiac arrest

70% of sudden cardiac deaths are caused by arrhythmias, often referred to as malignant arrhythmias, with the most common ones being ventricular tachycardia and ventricular fibrillation. A small portion is caused by severe bradycardia. This condition is generally seen in patients with structural heart diseases, such as acute myocardial infarction, severe dilated cardiomyopathy, hypertrophic cardiomyopathy, or patients in the late stages of valvular insufficiency or stenosis. It can also occur in patients with severe electrolyte disturbances, who are prone to malignant arrhythmias.

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Written by Chen Guang Yin
Cardiology
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How to Self-Check for Precursors of Cardiogenic Sudden Death

The majority of cases of sudden cardiac death are due to coronary artery atherosclerotic heart disease, causing extensive myocardial infarction, hence these patients often have precursors. Some individuals experience acute coronary syndrome due to inflammatory changes, leading to thrombosis; others, such as young people without any underlying conditions, might also experience this, often due to poor lifestyle habits like high stress and lack of sleep among other triggers. Most patients exhibit warning signs, including chest tightness, chest pain, and palpitations – symptoms of heart disease. When these problems occur, it is crucial to promptly visit a hospital for examination to determine if there are issues with the coronary arteries, and if so, to receive timely treatment and intervention.