心源性猝死

目的心源性猝死（SuddenCardiacDeath，SCD）是指由于心脏原因引起的无法预料的自然死亡（在急性症状开始的1小时内），不论病人在过去有无心脏病史。

Objective Sudden Cardiac Death ( SCD ) is usually referred to those unanticipated deaths caused by cardiac reasons . With or without past history of heart disease , it often occurred within 1 hour after the onset of acute symptoms .

心源性猝死临床特点及防护对策

Clinical Features of Sudden Cardiac Death and Its Nursing and Prevention Measures

心脏骤停，又称心源性猝死（SuddenCardiacDeath，SCD），是威胁人类健康的一大杀手。

Cardiac arrest , also called sudden cardiac death , is a major killer to the human life .

研究背景：冠心病猝死（suddencoronarydeath，SCD）在法医学实践中常见，占到心源性猝死的50%以上。

Background : The patients with sudden coronary death ( SCD ) are commonly seen in forensic practice , accounting for 50 % of sudden cardiac death .

泵衰竭死亡组的BNP水平显著高于心源性猝死组（P<0.05）。

BNP level was significantly higher in pump failure deaths than that in sudden cardiac deaths ( P < 0.05 ) .

心脏异常电触发活动诱发的致命性心律失常是导致心衰患者发生心源性猝死（SuddenCardiacDeath，SCD）的主要原因。

Epidemiological data shows that fatal ventricular arrhythmias initiated by abnormal impulses is the major cause of sudden cardiac death ( SCD ) in heart failure ( HF ) patients .

结论CHD患者中HRV减低，尤其伴有VT的患者中更为明显，反映了CHD伴VT患者心脏自主神经调节功能失衡，这类患者更易发生心源性猝死。

Conclusion The imbalance of the autonomic nervous system lead to HRV decrease in the CHD patients , especially in the patients with VT.

QT延长综合征属遗传性疾病，与心电图QT间期延长有关，也是室性快速性心律失常所致心源性猝死的高危因素之一。

Long-QT syndromes are heritable diseases associated with prolongation of the QT interval on an electrocardiogram and a high risk of sudden cardiac death due to ventricular tachyarrhythmia .

随访（20±11）个月期间，有12例发生心源性猝死（SCD）。

During follow up period ( 20 ± 11 ) months , 12 patients died with sudden cardiac death ( SCD ) .

背景：在‘猝死’的病因上，‘心源性猝死（SCD）’占80%。

Background : Among the cause of sudden death , sudden cardiac death ( SCD ) can account for 80 percent of them .

目的：探讨心源性猝死（SCD）不同年龄、性别的病因、诱因特点及相关预防措施。

Objective : To approach the etiopathogeneses and predisposing factors of sudden cardiac death ( SCD ) and to discuss the preventive measures .

已有大量的实验证实，自主神经系统与心血管疾病的病死率，包括心源性猝死（SCD）有着密切的联系。

Large number of experiments have confirmed that the state of autonomic nervous system has close relationship with cardiovascular disease mortality including SCD .

心肌肥厚、心衰是高血压、缺血性心肌病、心瓣膜病等许多心血管疾病的常见合并症，心肌肥厚、心衰常常伴发心律失常，特别是心衰期心源性猝死（SCD）的发生率大大增加。

Cardiac hypertrophy and failure is the common complication for such diseases as hypertension , ischemic heart disease , and heart valve disease , etc.

在正常心脏或者有如心衰等潜在心脏疾病的人群室性心率失常可以导致心源性猝死（SCD）。

Ventricular arrhythmias can cause sudden cardiac death ( SCD ) in patients with normal hearts and in those with underlying disease such as heart failure .

现有文献表明心源性猝死过程中会有PKC的过量活化，因此过量活化的PKC有可能作为诊断心源性猝死案例中心脏形态学改变的参考指标。

PKC will have the excessive activation in the sudden cardiac death process . Therefore excessive activation PKC can be as a diagnostic cardiac origin of sudden cardiac morphologic changes reference index .

泵衰竭死亡组和心源性猝死组的QTc和BNP水平显著高于生存组（P<0.05）；

Prolonged QTc intervals and elevated plasma BNP levels were significantly greater in sudden cardiac deaths and pump failure deaths than those survivors ( P < 0.05 ) .

心源性猝死患者心肌SOCS-1和SOCS-3表达的机制研究

The Study on the expression of SOCS-1 and SOCS-3 in the myocardium in patients with sudden cardiac death

方法采用本组建立的心脏传导系统（CCS）检查法，对120例心源性猝死者进行常规组织学检查。

Methods Sampling of cardiac conduction system ( CCS ) designed by the research group was adopted . The CCS of 120 cases died of cardiac sudden deaths were collected for routine histological examination .

对于有过恶性室性心律失常发作史的患者，若心电生理检查不能诱发室速，在没有条件安装ICD时，胺碘酮与β阻断剂联合应用仍可在一定程度上减少心源性猝死的发生。

Amiodarone and β blockers can reduce the occurrence of sudden cardiac death if ICD has not been implanted in the patients with a history of malignant ventricular arrhythmia , nonrepetitive in electrophysiological examination .

急性冠状动脉综合征（ACS）是指不稳定型心绞痛（UA）、Q波型心肌梗死（QMI）、非Q波型心肌梗死（NQMI）和心源性猝死这样一组临床病征。

The acute coronary syndrome ( ACS ) is such a group of clinical syndromes , including unstable angina ( UA ) , Q wave myocardial infarction ( QMI ) , non - Q wave myocardiac infarction ( NQMI ) and cardiac sudden death .

目的探讨早期缺血再灌流损伤心肌组织热休克蛋白70（HSP70）的变化，为心源性猝死的法医病理学鉴定寻找新的依据。

Objective To study the changes of the expression of HSP - { 70 } in myocardial tissue after early myocardial ischemia and reperfusion injury ( MI / R ), searching for a new evidence for forensic pathological diagnosis of sudden cardiac death .

大量研究表明T波交替（TWA）现象与心源性猝死、室性心动过速等有着密切关系，已逐渐成为医生诊断和评估心脏疾病的重要参考指标之一。

A lot of research has shown that T wave alternans ( TWA ) was closely related to sudden cardiac death and ventricular tachycardia . TWA was also gradually accepted as an important reference for heart disease diagnosis and evaluation .

心源性猝死的院前诊断及复苏中的几个问题

Diagnosis of sudden cardiac death before admission and some problems on resuscitation

目的研究心源性猝死的病理形态学。

Objective To study the pathological changes related to cardiac sudden death .

此外，另一个实例就是心源性猝死。

And finally , another example : sudden cardiac death .

急性脑血管病患者心源性猝死的危险因素

Sudden cardiac death in patients of acute cerebrovascular disease

心源性猝死的相关危险因素分析

Analysis of Related Risk Factors in Sudden Cardiogenic Death

T波电交替预测心力衰竭病人心源性猝死价值的新分歧

New Controversy for TWA Predicting Sudden Cardiac Death in Patients with Heart Failure

云南不明原因心源性猝死致病危险因素回顾性调查

Retrospective Investigation on Risk Factors of Unexpected Sudden Cardiac Death in Yunnan , China

2型肌强直性营养不良的心源性猝死

Sudden cardiac death in myotonic dystrophy type 2