What does sudden cardiac death mean?

Written by Li Hai Wen
Cardiology
Updated on September 17, 2024
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Sudden cardiac death refers to the sudden mortality caused by heart diseases, and the reasons for sudden cardiac death primarily include the following aspects:

First, structural heart diseases, such as coronary heart disease and acute myocardial infarction; acute myocardial infarction is currently the most common cause of sudden cardiac death.

Second, certain ion channel diseases, such as Brugada syndrome, or long QT syndrome. These types of ion channel diseases often coincide with malignant ventricular arrhythmias, such as torsade de pointes ventricular tachycardia or ventricular fibrillation, thus leading to the occurrence of these fatal phenomena.

Third, severe arrhythmias, such as severe bradycardia or ventricular tachycardia related to structural heart disease, often trigger malignant ventricular arrhythmias, leading to death.

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Written by Xie Zhi Hong
Cardiology
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Can cardiogenic sudden death cause vomiting?

Sudden cardiac death is commonly seen in three scenarios. The first scenario involves severe arrhythmias, such as ventricular tachycardia, ventricular fibrillation, or cardiac arrest, which do not cause vomiting. The second scenario is due to severe valvular dysfunction caused by acute myocardial infarction or valvular disease, which also generally does not cause vomiting. The third scenario concerns patients with severe cardiac diseases who have mural thrombi in their hearts. If a thrombus detaches, it can lead to fatal systemic embolism. For instance, if the thrombus travels to the cerebral arteries, it can cause cerebellar or cerebral artery occlusion, leading to brain herniation. This may result in symptoms such as headache, nausea, vomiting, and limb dysfunction. If it travels to the mesenteric artery, it can cause gastrointestinal pain and result in vomiting. Therefore, some cases of sudden cardiac death may cause vomiting.

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Written by Chen Guang Yin
Cardiology
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The difference between sudden cardiac death and myocardial infarction.

Sudden cardiac death and myocardial infarction are both types of coronary heart disease; they are classified under coronary heart disease. Sudden cardiac death is mostly caused by extensive myocardial infarction, with some patients experiencing it due to severe arrhythmias leading to sudden death. The primary clinical symptoms of myocardial infarction are typically those of coronary heart disease, including chest tightness, chest pain, and sweating. Sudden cardiac death can be triggered by myocardial infarction, but the two are not the same. Having a myocardial infarction does not necessarily result in sudden death, and myocardial infarction can be alleviated with treatment.

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Written by Chen Guang Yin
Cardiology
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Can an electrocardiogram be used to check for sudden cardiac death?

Can an electrocardiogram (ECG) detect the potential for sudden cardiac death in the future? Sudden cardiac death cannot be detected by an electrocardiogram. An ECG can only identify conditions such as myocardial infarction, arrhythmias, or premature beats occurring at the time of the test. Sudden cardiac death is a sudden cardiac event that definitely cannot be predicted by an ECG. There are some risk factors for sudden cardiac death, such as high blood pressure, diabetes, and underlying diseases like coronary heart disease, which make individuals more susceptible to sudden cardiac death. We cannot rely on an ECG to predict it.

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Written by Chen Guang Yin
Cardiology
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The difference between sudden cardiac death and myocardial infarction

Sudden cardiac death and myocardial infarction are both types of coronary heart disease, but they are different from each other. Firstly, having a myocardial infarction does not necessarily result in sudden death. Myocardial damage involves a large area of necrosis in the heart, and the patient may experience symptoms such as chest tightness, shortness of breath, chest pain, and sweating. The main symptom of sudden cardiac death is the abrupt cessation of vital signs, with breathing and pulse disappearing. This condition can be caused by a large and extensive acute myocardial infarction, but it can also be caused by other reasons such as electrolyte disturbances or malignant arrhythmias, which are different causes.

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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.