室性心律失常和ICD植入适应证.ppt

1、2003年6月27日，在联合会杯的比赛中，喀麦隆国脚维维安·福猝死赛场，震惊了整个足球界。最后经严格的尸检证实为心脏性猝死2、54岁的爱立信（中国）有限公司总裁杨迈于2004年4月8日晚，由于心脏病突发在京猝死 3、全球快餐业巨头麦当劳公司董事长兼首席执行官吉姆·坎塔卢波在2004年4月19日凌晨猝死于家中，最终死因为心脏病 突发，享年60岁 4、另一位在雅典的俄罗斯著名体育摄影记者尤里?贝科夫斯基也因心脏病突发去世，终年76岁 在雅典采访的北京电视台资深摄像记者郑立，在拍摄奥运火炬传递时心脏病突发猝死，年仅47岁 5、2004年10月北京交大学生刘红斌和老年运动员胡守礼在参加北京马拉松比赛中发生猝死，最终死因为心脏病突发所致 6、2005年2月25日，成都社保局局长向志雄在开会时猝死，后经专业人士证实为心脏病发作导致突然死亡 * * 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. 2012-4-8华： The major risk factors include prior cardiac arrest, spontaneous sustained VT, spontaneous nonsustained VT, family history of SCD, syncope, LV thickness greater than or equal to 30 mm, and an abnormal blood pressure response to exercise * 2012-4-8华： The major risk factors include prior cardiac arrest, spontaneous sustained VT, spontaneous nonsustained VT, family history of SCD, syncope, LV thickness greater than or equal to 30 mm, and an abnormal blood pressure response to exercise * * 第四点的理解：家族有这样的病人，本人没有心肌病。否则IIa。 * Sudden cardiac deaths among young adults and children are most often caused by these genetic disorders. * In HCM the magnitude of hypertrophy is directly related to the risk of sudden death and is strong independent predictor of prognosis. Over a mean follow-up of 6.5 years, 65 of 480 patients (15%) died, 23 suddenly. As shown the risk of sudden death increased progressively and in direct relation to wall thickness (p=.001). * * * These results come from a study done by Moss that comprised of 869 LQTS patients treated with beta-blockers. As shown, syncope, aborted cardiac arrest and LQTS-related death continue to occur while patients are prescribed on beta-blockers, particularly in