To improve survival from cardiac arrest, basic life support training in schools and communities should be provided to as many people as possible, according to new guidance from the European Society of Cardiology.

Presented at the ESC meeting and at the same time European Heart JournalIt also calls for the placement of automated external defibrillators in public places. About 6 million people worldwide experience sudden cardiac arrest each year.

“The public is our main ally in the fight against sudden cardiac death in our communities.” Jacob Toffelt Hansen, M.D.DM Sc, Professor and Senior Consultant in the Department of Cardiology at Copenhagen University Hospital, Denmark, and Chair of the Guidelines Task Force, said in a press release: “Everyone, including school children, should learn how to give CPR and how to use his AED. Both of these actions can save lives.”

The guidelines committee recommends public access defibrillation in areas where cardiac arrest is likely to occur, rapid bystander CPR in the event of cardiac arrest, and basic guidelines for increasing rates of bystander CPR. recommended to Class I to promote community training in life support. and use of AED. This guideline provides a Class IIa recommendation (not to be considered) for the use of mobile phone-based alerts by bystander volunteers with basic life support training to assist nearby patients in out-of-hospital cardiac arrest. should).

Since 75% to 80% of sudden cardiac deaths in the Western world are caused by CAD, the committee recommends habits that can help prevent plaque build-up, such as eating healthy, not smoking, losing weight, exercising, and reducing stress. recommended to promote. According to the panel, patients with myocardial infarction should undergo revascularization to reduce the risk of ventricular arrhythmias and sudden cardiac death.

Patients with myocardial infarction or chronic CAD who have markedly decreased left ventricular function, who have symptoms of heart failure despite revascularization and drug therapy, who have a good quality of life and a life expectancy >1 year, who have sudden cardiac arrest An implantable cardioverter-defibrillator must be administered to prevent arrest, the authors note.

Left ventricular ejection fraction remains the best method for risk stratifying chronic CAD patients. Nikolaos DouglessMD, An electrophysiologist from Leipzig University Heart Center Leipzig, Germany, said in a presentation: In patients with CAD, an ICD is recommended for those with NYHA class II or III HF and an LVEF of 35% or less, and an ICD should be considered for those with NYHA class I HF and an LVEF of 30% or less, Dagres said. said.

“We must not forget that there is an ever-growing number of good drugs for the treatment of heart failure with the addition of new drug classes,” said Dagres. “All of these drug classes not only relieve the symptoms of heart failure and improve prognosis, they also reduce the risk of sudden cardiac death, among other things. must be regarded.”

According to the authors, for patients with electrical disturbances that increase the risk of sudden cardiac arrest, disturbance-related triggers should be identified and patients should be advised to avoid those triggers.

“The presence of structural heart disease is a major risk factor for sudden cardiac death in patients with ventricular arrhythmias,” Dagres said. “Previous episodes of ventricular tachycardia or ventricular fibrillation should be considered as very important factors for recurrent events.”

The committee also noted that the incidence of sudden cardiac death was higher in athletes over the age of 35 (2–6.3 per 100,000 participant-years) than in athletes over the age of 35, and therefore preparticipation risk assessment for people participating in competitive sports. You wrote that cardiovascular evaluation should be considered. Young (0.4 to 3 per 100,000 participants year). In addition, we recommend equipping the sports center with her AED and staffing it with staff trained in CPR and AED use.

“AED-equipped sports centers have reported superior survival rates with favorable neurological outcomes after cardiac arrest.” Katja Zeppenfeld, MDPhD, FESC, FEHRA, Professor of Clinical Electrophysiology, Director of the Clinical Electrophysiology Research and Treatment Center at Leiden University Medical Center in Leiden, The Netherlands, and Chair of the Guideline Task Force, said the release.

This guideline was approved by the European Pediatric and Congenital Cardiology Society.

References:

Add topic to email alert

Get an email when new articles are posted

Enter your email address to receive an email when new articles are posted .

” data-action=subscribe> subscribe

Your request could not be processed. Please try again later. If this issue persists, please contact us at customerservice@slackinc.com.

back to helio

European Society of Cardiology