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SUDDEN CARDIAC DEATH RONALLY RASMIN SpJP FIHA JUNI 2011

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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