KEMATIAN MENDADAK

KARENA JANTUNG DAN

RESUSITASI

WIZA ERLANDA

DEFINITION

Natural death due to cardiac causes

Heralded by abrupt loss of consciousness
Within 1 hour of the onset of acute symptoms
Pre-existing heart disease may have to be
known, but the time and mode of death are
unexpected
Sudden Cardiac Death. ESC Task Force 2001

ETIOLOGY

RISK FACTORS
HYPERTENSION & LVH
LIPIDS
DIETARY FACTOR
PHYSICAL ACTIVITY
HEART RATE
SMOKING
DIABETES MELLITUS
ECG CHANGES
FH

PATOPHYSIOLOGY
TRIGGERS
AUTONOMIC
CHANGES
ACUTE ISCHEMIA
ELECTROLYTE ABN
PHYSICAL
EXERTION
MENTAL STRESS
DRUGS

SUBSTRATE
HYPERTROPHY
MYOCARDIAL SCAR
ATHEROSCLEROSIS
CORONARY
ANOMALIES
MYOCARDITIS

FUNCTION
ELECTROLYTE
SHIFTS
ELECTRICAL
INSTABILITY
PLATELET
AGREGATION
VASOCONSTRICTIO
N

VT
VF
ASYSTOLE
EMD

SUDDEN
CARDIAC
DEATH

Risk Factor of SCD :

1.
2.
3.
4.
5.
6.
7.
8.
9.

10.
11.

LVEF 35%
CHF
More than one MI
Active or provacable ischaemia
Inducible VT
Autonomic disfunction
Complex ventricular ectopic
Positive FH
Syncope in present Cardiac disease
LVH
Lifestyle : Cigarette Smoking, Alcoholism,Stress

Sudden cardiac death

PRIMARY PREVENTION

PRIMARY SCD PREVENTION

Post MI and Heart Failure

SECONDARY PREVENTION

CARDIOMYOPATHY

CARDIOMYOPATHY

LQTS

BRUGADA SYNDROME

WPW SYNDROME

CARDIO PULMONARY
RESUSCITATION ( CPR )

Epidemiologi

Irama yang paling sering dijumpai pada SCD

adal VF (75-80%)
5% -10% kasus SCD tanpa penyakit CAD
ataupun CHF

Simplified Adult BLS

Algorithm

Chest Compressions Critical

Without

effective chest compressions Oxygen

flow to brain stops.

Oxygen

flow to heart stops.

Drugs go nowhere.

TERIMA KASIH