Is there a difference between sudden cardiac death and myocardial infarction?

Written by Xie Zhi Hong

Cardiology

Updated on December 24, 2024

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Sudden cardiac death refers to the death of patients caused by various reasons such as cardiac enlargement, ventricular aneurysm, cardiac valve dysfunction, arrhythmias, and cardiac infections. Myocardial infarction leading to myocardial death is just one type of sudden cardiac death, mainly due to insufficient cardiac blood supply, leading to arrhythmias, heart failure, shock, acute death caused by the formation of intracardiac thrombosis, or death caused by complications after a heart attack. Therefore, the range of sudden cardiac death is quite broad, including myocardial infarction.

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Written by Xie Zhi Hong

Cardiology

1min 14sec

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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

44sec

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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 Li Qiang

Intensive Care Unit

1min 19sec

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The difference between cardiogenic shock and sudden cardiac death

Cardiogenic shock is caused by a decrease in cardiac contractile function, leading to reduced ejection, lowered blood pressure, and resulting in ischemia and hypoxia of tissue cells. It is due to the reduced contractile function of the heart, which may be caused by coronary issues such as coronary ischemia, or by severe arrhythmias such as severe ventricular tachycardia or fibrillation, or by acute heart failure. Cardiogenic sudden death occurs when cardiogenic shock progresses further, leading to the cessation of the heartbeat. The main difference between cardiogenic sudden death and cardiogenic shock is that during cardiogenic sudden death, the heartbeat has definitely stopped completely, or there is only ventricular fibrillation, at which point it is called cardiogenic sudden death. During cardiogenic shock, the heart still retains some contractile function, meaning the heart still has some autonomous beating capability. Compared to cardiogenic sudden death, it is still an early, reversible stage of cardiogenic sudden death. Once it progresses to cardiogenic sudden death, immediate cardiopulmonary resuscitation is necessary, and at this point, the mortality rate greatly increases.

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Written by Chen Guang Yin

Cardiology

46sec

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Precursors of cardiogenic sudden death during sleep

Before the onset of cardiac arrest during sleep, patients often exhibit symptoms of coronary heart disease such as chest tightness, shortness of breath, and palpitations. Often, these individuals do not pay enough attention to the symptoms, do not undergo timely medical examinations at a hospital, and consequently, there is a delay in the treatment of the condition. It is very unfortunate that sudden deaths occur during sleep, possibly due to fatigue, poor rest, and underlying heart disease, which then leads to cardiac arrest. The precursors of such events can vary from person to person; symptoms may include chest tightness and palpitations, among others. Therefore, it is important that we pay attention to these signs.

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Written by Chen Guang Yin

Cardiology

43sec

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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.