Can cardiogenic sudden death be resuscitated?

Written by Chen Guang Yin
Cardiology
Updated on September 22, 2024
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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 Xie Zhi Hong
Cardiology
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The difference between sudden cardiac death and myocardial infarction.

Sudden cardiac death refers to the sudden death of a patient caused by various heart diseases. The most common causes include malignant arrhythmias such as ventricular fibrillation and ventricular tachycardia, severe bradycardia, significant valvular dysfunction, or the sudden occlusion of the coronary arteries leading to death. Myocardial infarction, on the other hand, refers to the sudden cessation of blood supply to the heart vessels, causing myocardial death and leading to arrhythmias or valvular dysfunction, which presents a range of symptoms in patients. Myocardial infarction can result in death in 30% of patients, but with medical intervention, the mortality rate can significantly decrease. Therefore, in cases of sudden cardiac death, the patients are already deceased. However, the mortality rate from myocardial infarction under natural circumstances is relatively high, reaching 30%. With current medical interventions, the rate of mortality due to sudden cardiac death can be reduced to less than 10%.

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Written by Chen Guang Yin
Cardiology
42sec home-news-image

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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Will there be any sequelae from cardiogenic sudden death?

So, sudden cardiac death is firstly a sudden event. Whether there are sequelae depends greatly on whether timely rescue was administered at the time of the cardiac arrest. If effective cardiopulmonary resuscitation is given within a short time, generally within 4-6 minutes, then the patient's vital signs including consciousness might gradually recover, and it's possible that no severe sequelae will remain. However, if the rescue is not timely, it's possible for the heartbeat and breathing to be restored but not consciousness, leading to brain death and a vegetative state. This is a possibility.

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Written by Chen Guang Yin
Cardiology
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Is cardiopulmonary resuscitation effective for sudden cardiac death?

Is cardiopulmonary resuscitation useful for sudden cardiac arrest? Of course, it is useful. The emergency measure for sudden cardiac arrest is to perform cardiopulmonary resuscitation. If the patient receives CPR within four minutes, they are very likely to survive. If there is a delay beyond four minutes, the patient’s life might still be prolonged if resuscitated, but they might suffer brain death and potentially become vegetative. Therefore, it is crucial to administer immediate cardiopulmonary resuscitation to a patient experiencing sudden cardiac arrest, as this is the primary method of resuscitation.

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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.