课件：心脏性猝死与ICD防治.ppt

* * 谢 谢 zhc@263.net.cn * Sudden cardiac death is the 2nd leading cause of death after all cancers combined. Death from cardiac causes accounted for 30.3% of all deaths (National Vital Stats). Sudden cardiac death represents 63% of all cardiac deaths. (Mortality and Morbidity Weekly Review (MMWR), Feb 15, 2002) Therefore SCA accounts for 19.1% of deaths, more than all other causes except all cancers combined. * Sudden cardiac death is the 2nd leading cause of death after all cancers combined. Death from cardiac causes accounted for 30.3% of all deaths (National Vital Stats). Sudden cardiac death represents 63% of all cardiac deaths. (Mortality and Morbidity Weekly Review (MMWR), Feb 15, 2002) Therefore SCA accounts for 19.1% of deaths, more than all other causes except all cancers combined. * * Approximately 300,000 Americans die from Sudden Cardiac Arrest every year. Data from 1996 shows that other major causes of death affected fewer people: SCA ~300,000 Stroke 160,500 Lung Cancer 153,000 Breast Cancer 44,100 AIDS 37,000 Fire 5,000 * Focusing on cardiac arrest survivors is NOT the answer because these patients represent only a very small percentage of the total number of patients who experience SCA each year. To address the greatest number of patients, primary prevention therapies will be required. Today, we can effectively identify/treat a very small portion of the total number of patients who experience SCA. SCD-HeFT may siginficantly increase our ability to treat high-risk heart failure patients. * Studies have identified several factors that increase a patient’s risk for SCA. Individual risk factors are more predictive of SCA if they are combined with other risk factors. NOTE: Slides are provided on each risk factor if additional information is desired. * A relatively high rate of mortality was noted for all six arrhythmia groups, with 2-year survival rate