Sudden Cardiac Arrest in a Young Patient with Hypertrophic Cardiomyopathy and Zero Canonical Risk Factors: The Inherent Limitations of Risk Stratification in Hypertrophic Cardiomyopathy

2013 ◽  
Vol 9 (2) ◽  
pp. E51-E57 ◽  
Author(s):  
John J. Kohorst ◽  
J. Martijn Bos ◽  
Donald J. Hagler ◽  
Michael J. Ackerman
Keyword(s):  
Risk Factors ◽  
Cardiac Arrest ◽  
Hypertrophic Cardiomyopathy ◽  
Risk Stratification ◽  
Young Patient ◽  
Sudden Cardiac Arrest

scholarly journals Factors Affecting the Occurrence of Out-of-Hospital Sudden Cardiac Arrest

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Izabella Uchmanowicz ◽  
Wiesław Bartkiewicz ◽  
Jarosław Sowizdraniuk ◽  
Joanna Rosińczuk
Keyword(s):  
Risk Factors ◽  
Cardiac Arrest ◽  
Rapid Assessment ◽  
Sudden Cardiac Arrest ◽  
International Classification Of Diseases ◽  
Medical Emergency ◽  
Endocrine Disorders ◽  
Factors Affecting ◽  
Emergency Procedures ◽  
Treatment And Prevention

Objective. This paper aims to discover the risk factors for sudden cardiac arrest (out-of-hospital sudden cardiac arrest (OHSCA)) which significantly affect the decision about prioritizing emergency interventions before dispatching medical emergency teams, risk of deterioration of the patient’s condition at the scene, and emergency procedures.Methods. A retrospective study taking into account the international classification of diseases ICD-10 based on an analysis of medical records of Emergency Medical Service in Wroclaw (Poland).Results. The main risk factor of OHSCA is coexistence of external cause leading to illness or death (ICD Group V-10) as well as the occurrence of diseases from the group of endocrine disorders (group E), in particular diabetes. The increase in the risk of OHSCA incidence is affected by nervous system diseases (group G), especially epilepsy of various etiologies, respiratory diseases (group J), mainly COPD, and bronchial asthma or mental and behavioral disorders (group F), with particular emphasis on the drugs issue. The procedure for receiving calls for Emergency Notification Centre does not take into account clinical risk factors for sudden cardiac arrest (SCA).Conclusion. Having knowledge of OHSCA risk factors can increase the efficiency of rescue operations from rapid assessment and provision of appropriate medical team, through effective performance of medical emergency treatment and prevention of SCA or finally reducing the costs.

scholarly journals Modifiable risk factors associated with sudden cardiac arrest within hemodialysis clinics

2011 ◽  
Vol 79 (2) ◽  
pp. 218-227 ◽  
Author(s):  
Patrick H. Pun ◽  
Ruediger W. Lehrich ◽  
Emily F. Honeycutt ◽  
Charles A. Herzog ◽  
John P. Middleton
Keyword(s):  
Risk Factors ◽  
Cardiac Arrest ◽  
Sudden Cardiac Arrest ◽  
Modifiable Risk Factors ◽  
Factors Associated

Sudden cardiac arrest in 15-year-old girl. Could it be avoided?

2018 ◽  
Vol 1 (46) ◽  
pp. 43-48
Author(s):  
Maria Posadowska ◽  
Maria Miszczak-Knecht ◽  
Alicja Mirecka-Rola ◽  
Katarzyna Bieganowska
Keyword(s):  
Cardiac Arrest ◽  
Hypertrophic Cardiomyopathy ◽  
Cardiac Death ◽  
Sudden Cardiac Arrest ◽  
Postmortem Examination ◽  
Cardiac Care ◽  
Related Family ◽  
Asymptomatic Patients ◽  
History Of ◽  
Genetically Determined

We present a case of a 15-year-old girl after sudden cardiac arrest because of ventricular fibrillation. Hypertrophic cardiomyopathy was diagnosed. Family history of patient was positive – her uncle (mother’s brother) died suddenly at the age of 21, postmortem examination showed hypertrophic cardiomyopathy. The deceased man’s family was not under cardiac care. The presented case proves, that due to genetically determined cardiac diseases such as cardiomyopathies and channelopathies, all related family members should be examined cardiologically. Diagnosis of the disease in asymptomatic patients would allow the implementation of treatment and reduce the risk of a sudden cardiac arrest / sudden cardiac death.

Epidemiology and risk factors of sudden cardiac arrest

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Dominic S. Zimmerman ◽  
Hanno L. Tan
Keyword(s):  
Risk Factors ◽  
Cardiac Arrest ◽  
Sudden Cardiac Arrest

Prediction of sudden cardiac arrest: Risk stratification by anatomic substrate

1993 ◽  
Vol 126 (4) ◽  
pp. 807-815 ◽  
Author(s):  
Stephen C. Vlay ◽  
Lynn Burger ◽  
Linda C. Vlay ◽  
Owen Yen ◽  
Howard Novotny ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Risk Stratification ◽  
Sudden Cardiac Arrest

scholarly journals Sudden Cardiac Arrest in a Young Patient With Severe Pectus Excavatum

2018 ◽  
Vol 356 (6) ◽  
pp. 570-573
Author(s):  
Rayan Jo Rachwan ◽  
Andrea K. Purpura ◽  
Basil M. Kahwash
Keyword(s):  
Cardiac Arrest ◽  
Young Patient ◽  
Pectus Excavatum ◽  
Sudden Cardiac Arrest

scholarly journals Long-term risk of sudden cardiac death in hypertrophic cardiomyopathy - a cardiac magnetic resonance outcome study

2021 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
A Seitz ◽  
S Greulich ◽  
D Herter ◽  
F Guenther ◽  
S Probst ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiac Magnetic Resonance ◽  
Hypertrophic Cardiomyopathy ◽  
Risk Stratification ◽  
Cardiac Death ◽  
Risk Models ◽  
Lv Mass ◽  
Lge Cmr

Abstract Funding Acknowledgements Type of funding sources: Foundation. Main funding source(s): Robert Bosch Stiftung; Deutsche Forschungsgemeinschaft Background Sudden cardiac death (SCD) is an appalling complication of hypertrophic cardiomyopathy (HCM). There is an ongoing discussion about the optimal SCD risk stratification strategy in HCM since established SCD risk models have suboptimal discriminative power. Objective To evaluate the prognostic value of late gadolinium enhancement (LGE) cardiac magnetic resonance (CMR) for SCD risk stratification compared to the ESC SCD risk score and traditional SCD risk factors in an >10-year follow-up study. Methods 220 consecutive patients with HCM and LGE-CMR were enrolled. Follow-up data was available in 203 patients (median age 58 years, 61% male) after a median follow-up period of 10.4 years. Results LGE was present in 70% of patients with a median LGE amount of 1.6%, the median ESC 5-year SCD risk score was 1.84. In the overall cohort, SCD rates were 2.3% at 5 years, 4.8% at 10 years, and 15.7% at 15 years, independent from established risk models. A LGE amount of >5% (LV mass) portends the highest risk for SCD with SCD prevalences of 5.5% at 5 years, 13.0% at 10 years and 33.3% at 15 years. Conversely, patients with no or ≤5% LGE amount (of LV mass) have favorable prognosis. Conclusions LGE-CMR in HCM patients allows effective 10-year SCD risk stratification beyond established risk factors. LGE amount might be added to established risk models to improve its discriminatory power. Specifically, patients with >5% amount of LGE should be carefully monitored and might be adequate candidates for primary prevention ICD during the clinical long-term course. Abstract Figure.

scholarly journals Prediction of sudden cardiac arrest in the general population: Review of traditional and emerging risk factors

2022 ◽  
Author(s):  
Andrew C.T. Ha ◽  
Barbara S. Doumouras ◽  
Chang (Nancy) Wang ◽  
Joan Tranmer ◽  
Douglas S. Lee
Keyword(s):  
Risk Factors ◽  
Cardiac Arrest ◽  
General Population ◽  
Sudden Cardiac Arrest ◽  
Emerging Risk
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