Sudden Cardiac Death - University College Dublin UCD is 心脏性猝死-都柏林学院大学是.ppt

Benefits of Italian programme(Corrado et al, JAMA 2006) Screening by law since 1982 Everyone 12 yrs of age or older engaged in formal competitive sport Repeated every 2 years Performed by ‘Sports Cardiologist’ Published review of athlete screening, and causes of SCD in athlete and non-athlete population in 2006 9% of athletes required further screening 2% of athletes disqualified Numbers of Cardiologists Automatic Defibrillators (AEDs) Prominent placement in public locations (? remote rural towns also) Computer analyses heart rhythm and decides if shock is required Ideally personnel using should be trained (and training updated ? every 3 months) Have been successfully used by untrained ‘good samaritans’ Maintenance issues Public liability (Duty of Care issues) If cardiac arrest during sport more difficult to resuscitate Data from US ‘Schools’ 15 year period reviewed Number of schools needed to generate 1 cardiac arrest per year 167 schools 8 colleges / universities Of those who had cardiac arrest 15 % were 35 years of age 10% were students (half of them were already known to have health problems) In Summary SCD is not common High-risk people usually identified by symptoms or family history – priority for evaluation Cure not possible, but correct management can prevent complications Symptoms to be aware of Awareness of unusual symptoms important: Chest discomfort and/or Shortness of Breath that significantly limits ability to exercise Unexplained blackouts Prolonged palpitations (especially if associated with diziness) Reducing the risk Identify those with underlying conditions Older people returning to sport get checked by GP Improve response in the event of a cardiac arrest Availability of AEDs Training of population in Basic Life Support Improved ambulance response times Cardiac screening for sports or entire population? Hard to justify compulsory testing Ethical right not to know about health issues Currently no resources in public health system for statist