sudden cardiac death
TRANSCRIPT
SUDDEN CARDIAC DEATH
SUDDEN CARDIAC DEATHRONALLY RASMIN SpJP FIHAJUNI 2011
RCA : II,III,AVF
LM :
LAD : V1-V6
LCX : I,AVL
PRESENTASI VASKULAR PADA KEJADIAN IMA
Video EKG
Acute myocardial infarction video
How a fatal heart attack video
5 minute of vfib video
Cardiac arrest ecg video
SADS= Sudden Arrhythmic Death Syndrome;
CAD= Coronary Artery Disease;
HCM= Hypertrophic Cardiomyopathy;
LVH= Left Ventricular Hypertrophy;
CONGEN= Congenital Heart Disease;
SADS= Sudden Arrhythmic Death Syndrome;
CAD= Coronary Artery Disease;
HCM= Hypertrophic Cardiomyopathy;
LVH= Left Ventricular Hypertrophy;
CONGEN= Congenital Heart Disease;SADS= Sudden Arrhythmic Death Syndrome;
CAD= Coronary Artery Disease;
HCM= Hypertrophic Cardiomyopathy;
LVH= Left Ventricular Hypertrophy;
CONGEN= Congenital Heart Disease;
Myocard= Myocarditis
Ao Diss= Aortic dissection;
DCM= Dilated Cardiomyopathy;
Sarcoid = Cardiac Sarcoidosis
ARVC= Arrhythmogenic Right Ventricular Cardiomyopathy;
Anom Cor = Anomalous coronary artery
Others includes anomalous coronary arteries, infectiveendocarditis, aortic aneurysm, mitral valve prolapse, acutecardiac transplant rejection, and Duchennes musculardystrophyTable 1 Cardiovascular causes of suddendeath in young competitive athletes inthe United StatesMost common
eurheartj.oxfordjournals.org at Children's Mercy Hospital on April 23, 2010Most common
Hypertrophiccardiomyopathy
Congenital coronary artery anomaly
Less common Myocarditis
Aortic rupture (Marfan syndrome)
Mitral valve prolapse
Uncommon
Arrhythmogenic RV cardiomyopathy
Atherosclerotic coronary artery disease
Conduction system abnormalities
Aortic valve stenosis
Table 2Causes of sudden deaths in athletes and non-athletes (aged 35 years) in the Veneto region of Italy from 1979 to 1996Athletes (n 49) n (%) Non-athletes (n 220) n (%) Total (n 269) n(%)Arrhythmogenic RV cardiomyopathy 11 (22.4)18 (8.2) 29 (10.8)Atherosclerotic coronary artery disease9 (18.5)36 (16.4)45 (16.7)Anomalous origin of coronary artery6 (12.2)1 (0.4) 7 (2.6)Conduction system pathology 4 (8.2)20 (9)24 (8.9)Mitral valve prolapse5 (10.2)21 (9.5)26 (9.7)HCM 1 (2)16 (7.3)17 (6.3)Table 2Causes of sudden deaths in athletes and non-athletes (aged 35 years) in the Veneto region of Italy from 1979 to 1996Athletes (n 49) n (%) Non-athletes (n 220) n (%) Total (n 269) n(%)Myocarditis
3 (6.1)
19 (8.6)
22 (8.2)
Myocardial bridge
2 (4)
5 (2.3)
7 (2.6)
Pulmonary thromboembolism
1 (2)
3 (1.4)
4 (1.5)
Dissecting aortic aneurysm 1 (2)11 (5)12 (4.5)Dilated cardiomyopathy 1 (2)9 (4.1)10 (3.7)Other
5 (10.2)
61 (27.7)
66 (24.5)
Natural deathCardiac death
- Coronary artery disease- CardiomyopathyPrimary arrhythmia syndromes- Coronary anomalies- Aortic aneurysm/dissection- Valvular disease- Other causes
Non-cardiac sudden death
- Asthma- Epilepsy- Pulmonary embolism- Intracranial hemorrhage- Gastro-intestinal hemorrhage- Other causes
Unexplained death- No autopsy performedComprising all causes of death (alsoprimary arrhythmia syndromes)
- Autopsy-negative sudden deathsComprising mainly primary arrhythmiasyndromesIncluding inheritedcardiac diseasesAnte-mortem and/or post-mortem investigation
Table 1.
Flow chart sudden death and inherited cardiac diseases
Non-natural death
- Suicide- Other causes
Table 2.Categories of causes of sudden deathDefinition ExampleA. Definite SCD Cardiac disease is established bypost-mortem investigation
B. Probable SCD Cardiac disease is the most likelycause of deathSudden death during soccergame in a person with priorhistory of syncopal episodes andpalpitations
B. Probable SCD Cardiac disease is the most likelycause of death
Sudden death during soccergame in a person with priorhistory of syncopal episodes andpalpitations
C. Possible SCD Both cardiac and non-cardiacdiseases are possible causes ofdeathUnwitnessed death, no additionalinformation on the circumstancesof the victims death. No familyhistory of sudden death
D. Non-cardiac suddendeath
Non-cardiac disease is the mostprobable cause of death
Acute onset of severe hematesisfollowed by collapse and suddendeath
E. Probable non-naturalsudden death
Non-natural cause of death isthe most probable cause, but anunderlying natural cause of deathcannot be excluded
Car accident in which theunderlying cause of the accidentremains unexplained
LAKUKAN PENGHITUNGAN DENYUT SEBELUM DAN SESUDAH BERLATIH
LATIHAN & KEBUGARANMENJAGA KEBUGARAN PEREGANGAN TULANGZONA LATIHAN (220 UMUR)BATAS ATAS X 0.9BATAS BAWAH X 0.6
especially aerobic exercise, has many benefits. This type of activity can do the following:
Strengthen your heart and cardiovascular system
Improve your circulation and help your body use oxygen better
Improve your heart failure symptoms
Increase energy levels so you can do more activities without becoming tired or short of breath
Increase endurance
Lower blood pressure
Improve muscle tone and strength
Improve balance and joint flexibility
Strengthen bones
Help reduce body fat and help you reach a healthy weight
Help reduce stress, tension, anxiety and depression
Boost self-image and self-esteem
Improve sleep
Make you feel more relaxed and rested
Make you look fit and feel healthy
ALLAH CIPTAKAN BUMI SUPAYA KITA BISA BERJALAN DI ATAS NYA
ALLAH CIPTAKAN LANGIT, DAN KITA BERJALAN DI BAWAH NYA
ALLAH CIPTAKAN KEJADIAN ALAM DIANTARA KEDUANYA
AGAR KITA MENJADI KAUM YANG BERFIKIR