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Methods for ECG Evaluation of Indicators of Cardiac Risk, and Susceptibility to Aconitine-induced Arrhythmias in Rats Following Status Epilepticus
Published on: April 5, 2011
Omega-3 fatty acids and sudden arrhythmic death
Stuart J Connolly1, Jeffrey S Healey
1Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Cardiovascular disease, particularly ischemic heart disease, causes significant mortality. Ventricular fibrillation is a major cause of sudden cardiac death in these patients.
Area of Science:
- Cardiology
- Public Health
Background:
- Cardiovascular disease (CVD) is the primary cause of death in developed nations.
- In Canada, CVD accounted for 36% of all deaths in 1999, with ischemic heart disease (IHD) being the largest contributor.
- Myocardial infarction (MI) leads to two main complications: impaired myocardial function (congestive heart failure) and cardiac rhythm disturbances (ventricular fibrillation).
Purpose of the Study:
- To highlight the significant impact of ischemic heart disease on mortality.
- To differentiate the tracking and impact of congestive heart failure versus sudden cardiac death.
- To estimate the contribution of ventricular fibrillation to sudden cardiac death in IHD patients.
Main Methods:
- Analysis of administrative databases to track congestive heart failure mortality rates.
- Estimation of sudden cardiac death rates attributed to ventricular fibrillation in IHD patients.
- Review of mortality statistics for developed countries and Canada.
Main Results:
- Ischemic heart disease accounts for 20% of all deaths, with half due to acute myocardial infarction effects and the other half to late complications.
- Congestive heart failure has a tracked annual death rate of approximately 2.5% in Canada.
- Ventricular fibrillation is estimated to cause at least 25% of deaths in patients diagnosed with ischemic heart disease.
Conclusions:
- Myocardial infarction sequelae, including heart failure and ventricular fibrillation, are major contributors to cardiovascular mortality.
- Sudden death due to ventricular fibrillation is difficult to quantify but represents a substantial cause of mortality in IHD.
- Further research is needed to better quantify and address sudden cardiac death in the context of ischemic heart disease.
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