Prevention of sudden cardiac death by the implantable cardioverter defibrilator

Abstract

INTRODUCTION; Sudden cardiac death or, as it is also called, a modern man's killer occurs a few hours after the beginning of the disease. Sudden death is the one that happens within an hour from the onset of the subjective discomforts regardless of the existence of any previous disease. According to modern statistics, 450.000 people die suddenly in the USA and 150,000 in Germany. CAUSES OF SUDDEN DEATH: The most frequent causes of sudden death are cardiologic or, in other words, a heart rhythm disorder such as ventricular tachycardia, ventricular fibrillation and bradycardiac rhythm disorder. All these reasons can be efficiently prevented by the implantation of the cardioverter defibrillators. IMPLANTABLE CARDIOVERTER DEFIBRILLATOR: In comparison with the already known medications, the defibrillator seems to be the most efficient in prevention of sudden cardiac death. This fact has been confirmed by large multicentre studies. The implantation itself is a routine procedure. It lasts about an hour and it often passes without any complications. The patient leaves the hospital a few days after the procedure. About 150 of these procedures are performed per year at the Institute of Cardiovascular Diseases Vojvodina. The Social Insurance Fund bears medical costs and the patient only pays the participation fee, which is symbolical if compared to the value and use of the device. Owing to this fact, this device is available to every patient thus making the efficient sudden cardiac death prevention possible.

Muerte súbita cardiaca en el corazón estructuralmente normal: una actualización

“…El SQTC también se puede diagnosticar si el QTc es < 360 ms en presencia de una mutación patogénica, antecedentes familiares de SQTC o MS antes de los 40 años, o si se tiene documentado un episodio de taquicardia o fibrilación ventricular en ausencia de enfermedad estructural 23 . La edad promedio de diagnóstico es de 30 años (4 a 80 años) 34 . La mayoría de los pacientes con SQTC pueden tener una historia familiar de MS y/o fibrilación auricular.…”

Arrhythmogenic right ventricular cardiomyopathy as a cause of sudden death in young people: Literature review

“…Rezultati studija AVID, Casch, CIDS, MADIT I, MADIT II, SCD HEFT ukazuju na to da je lečenje kardioverter defibrilatorima efikasnije od le čenja antiaritmicima u produženju života [61]. Rezultati studija AVID, Casch, CIDS, MADIT I, MADIT II, SCD HEFT ukazuju na to da je lečenje kardioverter defibrilatorima efikasnije od le čenja antiaritmicima u produženju života [61].…”