RT Book, Section
A1 Narayan, Sanjiv M.
A1 Daubert,  James P.
A2 Fuster, Valentin
A2 Narula, Jagat
A2 Vaishnava, Prashant
A2 Leon, Martin B.
A2 Callans, David J.
A2 Rumsfeld, John S.
A2 Poppas, Athena
SR Print(0)
ID 1202456930
T1 Sudden Cardiac Death and Resuscitation
T2 Fuster and Hurst's The Heart, 15e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781264257560
LK accesscardiology.mhmedical.com/content.aspx?aid=1202456930
RD 2024/04/19
AB Chapter  SummaryThis  chapter  provides  a  structural  and  practical  discussion  of  sudden  cardiac  death  (SCD),  acute  resuscitation,  and  postresuscitation  care.  The  various  etiologies  of  SCD  include  arrhythmias,  coronary  disease,  genetic  electrical  syndromes,  and  structural  causes.  SCD  can  strike  individuals  in  the  broad  population,  as  well  as  special  populations  at  risk,  including  women,  underrepresented  minorities,  and  athletes.  Paradoxically,  a  substantial  minority  of  cases  classified  as  SCD  are  noncardiac  and  span  neurological,  respiratory,  and  other  causes.  Currently,  risk  stratification  for  SCD  is  suboptimal  and  future  avenues  for  improved  mechanism-based  prediction  are  highlighted.  Notably,  in-hospital  SCD  is  associated  with  better  prognosis  than  out-of-hospital  SCD.  Effective  early  response  is  critical  and  shares  similarities  for  both  types  of  arrest.  The  chapter  details  basic  and  cardiopulmonary  resuscitation,  including  current  emergency  pharmacological  management  and  coronary  catheterization.  Postresuscitation  care  focuses  on  preserving  the  brain—including  via  therapeutic  temperature  management  (induced  hypothermia)—neurological  recovery,  as  well  as  cardiopulmonary  management.  The  ethics  of  end-of-life  management  and  withdrawal  of  resuscitation  are  also  emphasized.