在非体育相关事件中Comotio Cordis:一个系统的审查
Rafael N Lee1, Thalys Sampaio Rodrigues2, Joscelyn T Gan1
1University of Melbourne Faculty of Medicine, Dentistry and Health Sciences, Melbourne, Victoria, Australia; Austin Health, Melbourne, Victoria, Australia.
JACC. Clinical electrophysiology
|August 9, 2023
概括
心脏动是心脏突然死亡的原因,在体育和非体育环境中都会发生. 与体育相关事件相比,非体育事件,通常是由于袭击,死亡率更高,复苏延迟.
科学领域:
- 心脏病学 心脏病学
- 突然的心脏病死亡.
- 创伤医学 创伤医学
背景情况:
- 心脏动是突然心脏死亡 (SCD) 的一个越来越公认的原因.
- 虽然经常与运动员有关,但许多心脏动荡事件发生在与运动无关的环境中.
- 了解与体育相关的和非体育相关的心脏动之间的差异对于预防和治疗至关重要.
研究的目的:
- 描述和比较非体育与体育相关动荡的发生率,机制,人口统计和结果.
- 确定两个类别之间的病因学,受害者特征和紧急医疗响应的关键差异.
- 为公共卫生战略提供信息,以减少心脏动荡造成的死亡率.
主要方法:
- 使用PubMed和Embase数据库进行了全面的文献搜索.
- 分析了从数据库创建到2022年1月5日的所有已确定的心脏动荡病例.
- 病例被分为与体育有关的或与体育无关的,并进行了比较统计分析.
主要成果:
- 在334起心脏动荡病例中,121起 (36%) 与运动无关,主要是由于袭击 (76%).
- 非体育赛事中使用弹药的频率较低 (5% vs 94%),但死亡率较高 (88% vs 66%).
- 女性受害者在非体育赛事中更常见,心肺复苏 (CPR) 和除率在延迟复苏时显著降低.
结论:
- 动心脏发生在各种非运动环境中,包括袭击和机动车辆事故.
- 非运动性心脏动的较高死亡率与较低的心肺复苏率,除率和延迟复苏有关.
- 提高意识和及时复苏对于预防非运动相关心脏动荡患者的死亡率至关重要.
相关概念视频
01:30Acute Coronary Syndrome III: Diagnostic Studies
10
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
10
01:30Acute Coronary Syndrome I: Introduction
30
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
30
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
10
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10
01:19Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
20
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
20
01:30Introduction Cardiac Emergencies
30
Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
30