[Sudden cardiac death].

Medicinski pregled Pub Date : 2020-02-07 DOI:10.32388/y2mapl
V. Topalov, B. Radišić, D. Kovacević
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引用次数: 1

Abstract

: Atherosclerosis is a chronic, long-term process in which the walls of the arteries become hardened and abnormally narrowed by atherosclerotic plaques. Hardening of the arteries and the development of atherosclerotic plaques compromise the vascular system. Atherosclerosis develops due to fat and cholesterol accumulation, inflammation, and calcification. Preventative measures that stop or slow atherosclerosis is considered the best approach to good vascular health. While some risk factors for vascular disease are nonmodifiable, such as inherited characteristics, other risk factors may be controlled, such as blood lipid levels, obesity, a sedentary lifestyle, and smoking, to reduce the risk of vascular disorders. Lifestyle changes are very effective at lowering blood pressure and risk associated with vascular disease but they are a lifelong commitment that many people find difficult. Half of the people who know they have hypertension and vascular disease are not receiving treatment, or not being adequately treated. All health clinicians and health care professionals have a valuable role to assist patients in a health prevention plan to control the development of vascular disease.
[心脏性猝死]。
突然死亡发生在主观症状出现后24小时内,伴有或不伴有已知的既往疾病。根据弗雷明汉心脏研究,在20年的随访中,13%的死者死于猝死。最常发生在婴儿头6个月和45-75岁期间。在80%以上的病例中,猝死是由冠状动脉疾病引起的,而在5%的病例中,猝死的原因是脑血管损伤。猝死的机制为65-85%的心室颤动、7-10%的室性心动过速和20-30%的机电解离。有时猝死可由医源性原因引起,如药物中毒、置管和反射机制——血管迷走神经反射和颈窦反射。病理解剖表现可为心肌纤维化、水肿、个别坏死、细胞浸润等阳性,也可无变化。在心力衰竭的情况下,进行复苏:气道维持,人工呼吸,人工循环,药物治疗和电疗。预防猝死意味着发现高危患者并应用药物治疗以延缓其发生。冠状动脉患者持续心肌梗死,射血分数低于30%,登记心动过速为高危患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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