The difference between cardiogenic sudden death and cerebrogenic sudden death.

Written by Chen Guang Yin
Cardiology
Updated on September 30, 2024
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The concept of sudden cardiac death exists, but there doesn't seem to be an equivalent term for "sudden brain death." For instance, if a large cerebral hemorrhage occurs and the patient dies within a very short time, this is referred to as death due to cerebral hemorrhage, not sudden death. Sudden death is characterized by death occurring unexpectedly within just a few minutes. The main difference between these, I think, is time. Sudden cardiac death happens very quickly and unexpectedly, which is why it's termed sudden death. In the case of brain-related issues, such as a significant cerebral hemorrhage, especially in the brainstem, it can compress the vital centers, leading to rapid respiratory and circulatory failure, and eventually death. Compared to sudden cardiac death, there is a slight delay in brain-related deaths; they don't occur as swiftly, and I believe the major difference lies in the timing.

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Written by Chen Guang Yin
Cardiology
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How to rescue sudden cardiac death from cardiogenic heart disease?

Firstly, the rescue approach for cardiogenic sudden death is the same regardless of the cause, whether it is rheumatic heart disease, coronary heart disease, malignant arrhythmia, or any other reason. If cardiogenic sudden death occurs, the rescue method is the same, which is to urgently perform cardiopulmonary resuscitation (CPR). CPR includes chest compressions of at least 100 per minute, and these must be effectively carried out. Secondly, artificial respiration must be performed, at about fourteen to fifteen times per minute. These two measures are the primary measures in the rescue of cardiogenic sudden death caused by rheumatic heart disease.

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Written by Chen Guang Yin
Cardiology
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Does cardiogenic sudden death cause vomiting blood?

Of course, sudden cardiac death is now a very common cause of death. At places like airports and bus stations, we often see reports of such incidents, and many young people are also affected. However, patients experiencing sudden cardiac death generally do not present with symptoms of vomiting blood, as it is caused by cardiac arrest. Vomiting blood is usually associated with conditions such as gastric ulcers leading to severe bleeding, gastric cancer, or cirrhosis leading to rupture of varicose veins at the base of the stomach. The likelihood of vomiting blood occurring in cases of sudden cardiac death is very low, almost nonexistent.

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Written by Xie Zhi Hong
Cardiology
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Is sudden cardiac death an acute myocardial infarction?

Sudden cardiac death refers to a phenomenon where a variety of heart diseases cause acute death in patients, with the most common causes being malignant arrhythmias such as ventricular tachycardia, ventricular fibrillation, or severe bradycardia, primarily related to myocardial infarction. However, not all cases of sudden cardiac death are due to myocardial infarction; this condition generally accounts for about 70%. Other causes of sudden cardiac death include existing dilated cardiomyopathy, thyrotoxic cardiomyopathy, or severe terminal stenosis of the mitral or aortic valves, which can also lead to sudden cardiac death. Another scenario involves atrial fibrillation leading to atrial thrombosis, causing thrombus detachment and resulting in extensive cerebral infarction leading to sudden death; this is also classified as sudden cardiac death. Therefore, while the majority of sudden cardiac deaths are related to myocardial infarction and arrhythmias, not all sudden cardiac deaths are due to myocardial infarction.

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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 Li Hai Wen
Cardiology
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What does sudden cardiac death mean?

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.