What tests are needed to prevent sudden cardiac death?

Written by Li Hai Wen
Cardiology
Updated on September 02, 2024
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To prevent cardiogenic sudden death, the following examinations are needed:

First, echocardiography, which can preliminarily determine if there are any organic heart diseases, such as hypertrophic cardiomyopathy, dilated cardiomyopathy, ischemic cardiomyopathy, or heart valve diseases. These heart conditions are significant causes of cardiogenic sudden death;

Second, undergo an electrocardiogram (ECG), which can determine if there is an acute myocardial infarction, another significant cause of cardiogenic sudden death. Additionally, a Holter monitor test should be conducted to observe any serious arrhythmias within a 24-hour period;

Third, blood tests, such as tests for cardiac enzymes and troponin. If there is a significant increase in cardiac enzymes and troponin, it is important to be vigilant about the possibility of an acute myocardial infarction. Also, blood tests for electrolytes should be done to detect any severe electrolyte imbalances, which are also significant triggers for cardiogenic sudden death.

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Written by Chen Guang Yin
Cardiology
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Golden hour for emergency treatment of cardiogenic sudden death

Cardiac arrest is now also a very frequent event. We have seen some reports of it occurring frequently at airports, train stations, and on public transport, involving middle-aged, elderly, or even young individuals. The golden window for emergency aid is 4 to 6 minutes, with shorter times being preferable. We say time is life because after 4 to 6 minutes, if effective circulation isn't restored, brain cells begin to die. Even if later resuscitation restores breathing and heartbeat, the individual may end up in a vegetative state. Therefore, within the shortest time frame of 4 to 6 minutes, external chest compressions, including opening the airway and artificial respiration, must be administered. The optimal window is 4 minutes, but no more than 6 minutes.

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Written by Chen Guang Yin
Cardiology
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Can cardiogenic sudden death be resuscitated?

If cardiogenic sudden death is promptly rescued, it is possible to save the individual. For example, if we immediately perform on-the-spot rescue after cardiogenic sudden death occurs, administering CPR within 4-6 minutes, then a large number of people can be rescued successfully. Some diseases might not even leave any sequelae. The key lies in the timing of the rescue. We say that time is life. For patients who suffer from cardiogenic sudden death, we must act immediately on the spot, wherever the sudden death occurs, to start the rescue, immediately initiating artificial respiration and external chest compressions.

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Written by Zhang Yue Mei
Cardiology
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Does sudden cardiac death have a connection with overwork?

Sudden cardiac death is directly related to overexertion, particularly in individuals with coronary heart disease, congenital heart disease, rheumatic heart disease, viral myocarditis, and heart rhythm disorders, especially those accompanied by heart failure. Excessive strain can increase the burden on the heart, exacerbate heart failure, lead to arrhythmias, and in severe cases, result in sudden death. Therefore, patients with structural heart disease must follow a doctor's guidance to routinely use effective medications for treatment, rest adequately, avoid overexertion, and maintain a low-fat, low-salt diet to minimize factors that increase cardiac load and prevent the occurrence of sudden death.

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Written by Xie Zhi Hong
Cardiology
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Does sudden cardiac death relate to coronary heart disease?

Some studies suggest that 70% of sudden cardiac deaths are caused by arrhythmias. Most of these arrhythmia-induced sudden deaths are associated with coronary artery atherosclerosis. Some are caused by acute myocardial infarction leading to sudden cardiac death. These are all caused by coronary heart disease. Therefore, sudden cardiac death is related to coronary heart disease. Thus, if coronary heart disease is suspected in a patient, it is crucial to perform early examinations and treatments to prevent the occurrence of myocardial infarction. Typical symptoms of coronary heart disease include intermittent chest tightness and chest pain, which can improve after a few minutes, and should therefore be taken seriously.

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Written by Chen Guang Yin
Cardiology
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What causes cyanosis of the face and lips in sudden cardiac death?

In patients with cardiogenic sudden death, we can see that their lips turn purple, commonly referred to as cyanosis of the lips. Similarly, their faces also turn purple. This primarily results from cardiac arrest caused by cardiogenic sudden death. Once the heart stops beating, the blood supply to the entire body, including the heart, brain, kidneys, peripheral vessels, face, skin, and fingers, is halted. This leads to a state of hypoxia. The purple discoloration (cyanosis) occurs because, after the heart stops, there is no blood flow and no oxygen exchange in the blood, ultimately leading to hypoxia.