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Predicting and Preventing Sudden Cardiac Death
NA Estes - Circulation, 2011 - Am Heart Assoc Case presentation: A 61-year-old moderately obese (body mass index 28.1 kg/m 2 ) hypertensive
diabetic man without any prior cardiac history collapsed suddenly at a town meeting. Bystander
cardiopulmonary resuscitation was initiated, an automated external defibrillator available ...
Case presentation: A 61-year-old moderately obese (body mass index 28.1 kg/m2) hypertensive diabetic man without any prior cardiac history collapsed suddenly at a town meeting. Bystander cardiopulmonary resuscitation was initiated, an automated external defibrillator available at the town hall was deployed, and a single shock was delivered. He regained a pulse and spontaneous respirations. He was transported to the local hospital, where he was stabilized, but remained comatose. The patient was immediately transferred to a tertiary hospital, where a therapeutic hypothermia protocol was initiated. No ECG or laboratory evidence of a transmural myocardial infarction (MI) was present. He regained consciousness 2 days after resuscitation. Coronary angiography demonstrated significant obstruction of 3 major coronary arteries, with mild global impairment of left ventricular function with an ejection fraction of 45%. Coronary bypass surgery was performed, and after implantable cardioverter-defibrillator (ICD) placement, he was discharged on a statin, a β-blocker, aspirin, and an angiotensin-converting enzyme inhibitor. The patient has no residual neurological or cognitive deficits. He has done well clinically in a cardiac rehabilitation program stressing exercise, diet, and lifestyle changes to achieve an ideal body weight.
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Predicting and Preventing Sudden Cardiac Death |
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