Koster Rudolph W
Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands.
J Cardiovasc Electrophysiol. 2002 Jan;13(1 Suppl):S92-5. doi: 10.1111/j.1540-8167.2002.tb01959.x.
Sudden cardiac death is a major health problem. Worldwide success of resuscitation from out-of-hospital cardiac arrest is modest, with 5% to 10% survival to hospital discharge.
In the chain of survival, early defibrillation (goal <5 min after collapse) is a major determinant of successful outcome of resuscitation. This goal is rarely achieved, but the automatic external defibrillator (AED) is a promising tool for lay defibrillation. The AED is a safe and effective device with nearly 100% accurate detection of ventricular fibrillation and nearly 100% accurate detection of a nonshockable rhythm. A large uncontrolled experience suggests improved outcome in nontraditional responders such as police. Controlled studies of community application of the AED are under way.
The AED is a promising tool in the fight against sudden cardiac death and should be studied and supported by all scientists involved, including electrophysiologists.
心脏性猝死是一个重大的健康问题。在全球范围内，院外心脏骤停复苏成功的比例并不高，只有5%至10%的患者能存活至出院。
在生存链中，早期除颤（目标为心脏停搏后<5分钟）是复苏成功的主要决定因素。这一目标很少能实现，但自动体外除颤器（AED）是一种很有前景的现场除颤工具。AED是一种安全有效的设备，对室颤的检测准确率接近100%，对不可电击心律的检测准确率也接近100%。大量非对照经验表明，警察等非传统反应者使用AED后预后有所改善。关于AED在社区应用的对照研究正在进行中。
AED是对抗心脏性猝死的一种有前景的工具，所有相关科学家，包括电生理学家，都应对其进行研究并提供支持。
