突发心脏病死亡:一个系统审查
Arturo P Jaramillo1, Mohamed Yasir2,3, Nandhini Iyer4
1General Practice, Universidad Estatal de Guayaquil, Machala, ECU.
Cureus
|September 4, 2023
概括
突然心脏死亡 (SCD) 是一个主要问题,经常发生没有警告. 初级预防策略,包括基因查和心律失常监测,对一般人群至关重要.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 遗传学 是一个遗传学.
背景情况:
- 心脏突然死亡 (SCD) 是心血管死亡的主要原因,通常是由于心室动脉节律失常.
- 目前的预防重点是使用诸如皮下植入式心脏逆心除器 (S-ICD) 等设备的高危人群,但许多SCD发生在看似健康的个体中.
- 与其他心血管疾病相比,SCD风险因素的数据有限,需要更广泛的初级预防策略.
研究的目的:
- 审查有关心脏突发死亡风险因素的现有文献.
- 强调对一般人口加强初级预防策略的必要性.
- 确定与SCD相关的关键风险因素和并发性疾病.
主要方法:
- 医学文献的系统审查.
- 搜索了包括PubMed/Medline,Cochrane图书馆和谷歌学者在内的数据库.
- 包括13个符合特定资格标准的出版物.
主要成果:
- 男性的性别和SCD的家族史是显著的风险因素.
- 阻塞性睡眠呼吸暂停 (OSA) 是一种重要的并发症.
- 患有S-ICD的个体和有心室心律不整史的年轻运动员对SCD的倾向性更高.
结论:
- 需要更多的研究来建立最佳方法来管理已识别的SCD风险因素.
- 更好地了解风险因素将有助于应用预防和治疗医学.
- 初级预防策略对于风险人群和那些经历过SCD的人来说都是必不可少的.
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