Can sudden cardiac death in the young be predicted and prevented? Lessons from autopsy for the emergency physician
Por:
White JL, Chang AM, César-Díaz S and Sarquella-Brugada G
Publicada:
1 jun 2018
Categoría:
Emergency medicine
Resumen:
Sudden unexpected death in the young, though rare, is devastating for both the family and the community. Although only 1.3 to 8.5 cases of sudden cardiac death (SCD) occur per 100 000 young people, autopsy is often inconclusive. Many causes of SCD are related to autosomal dominant inherited risk, however; therefore, answers are important for survivors. Causes of autopsy-positive SCD in young patients include hypertrophic cardiomyopathy and arrhythmogenic right ventricular dysplasia. Autopsy-negative SCD has been related to inherited arrhythmogenic causes such as long QT syndrome, Brugada syndrome, catecholaminergic polymorphic ventricular tachycardia, Wolff Parkinson-White syndrome, and idiopathic ventricular fibrillation. The important question for the emergency physician is how SCD can be predicted and prevented in the young so that there is no need for an autopsy.
Filiaciones:
White JL:
Department of Emergency Medicine
Mayo Clinic College of Medicine, Rochester, Minnesota, EE.UU
Chang AM:
Department of Emergency Medicine
Sidney Kimmel Medical College of Thomas Jefferson University and the National Academic Center of Telehealth, Filadelfia, Pensilvania, EE.UU
César-Díaz S:
Departamento de Cardiología Pediátrica, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España
Sarquella-Brugada G:
Departamento de Arritmias Pediátricas, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España
Open Access
|