Project SAVE Sudden Cardiac Death Awareness, Vision for项目抢救心源性猝死意识视为.pptVIP

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Project SAVE Sudden Cardiac Death Awareness, Vision for项目抢救心源性猝死意识视为.ppt

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Project SAVE Sudden Cardiac Death Awareness, Vision for项目抢救心源性猝死意识视为

Pediatric Sudden Cardiac Death Robert M. Campbell, MDCMO, Children’s Healthcare of Atlanta Sibley Heart Center Director, Sibley Heart Center Cardiology Division Director of Cardiology, Department of Pediatrics,Emory University School of Medicine The Atlanta Journal ConstitutionSunday, September 7, 2003 The Atlanta Journal Constitution Sunday, September 7, 2003 ‘There was this beautiful young lady laying there,and I kept thinking, “This can’t be happening. Her heart can’t be stopping.” Sudden Cardiac Death (SCD) Overview Infrequent occurrence? ? 1:50K-1:200K athletes No accurate or mandatory reporting Caused by rare cardiac defects, trauma, or stimulants + Warning signs/symptoms When SCD occurs, stories are big Emotional responses from parents, coaches, friends, and the community In this day and age, children are pushing and getting pushed harder SCD episodes may not be predictable or preventable Sudden Cardiac Death (SCD): Differential Diagnosis Normal Echocardiogram SCD Differential Diagnosis: Structural/Functional Hypertrophic Cardiomyopathy: Thickening of the heart muscle SCD Differential Diagnosis: Structural/Functional Coronary Artery Anomalies: Congenital or Acquired SCD Differential Diagnosis: Structural/Functional Aortic Rupture/Marfan: Dilatation and thinning of the aorta SCD Differential Diagnosis: Structural/Functional Dilated Cardiomyopathy: Thinning and weakening of the heart muscle SCD Differential Diagnosis: Structural/Functional Myocarditis: Inflammation of the heart muscle Left Ventricular Outflow Tract Obstruction: Blockage to the left ventricular outflow Mitral Valve Prolapse (MVP): Redundancy of mitral valve Coronary Artery Atherosclerotic Disease: Coronary artery plaque and obstruction Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC): Fatty infiltration of the right ventricular muscle SCD Differential Diagnosis: Primary Electrical Long QT Syndrome (LQTS): Abnormal electrical reactivation (repolarization) Wo