Srinivasan Neil T, Schilling Richard J
Barts Heart Centre, St Bartholomew's Hospital London, UK.
Arrhythm Electrophysiol Rev. 2018 Jun;7(2):111-117. doi: 10.15420/aer.2018:15:2.
Sudden cardiac death (SCD) and arrhythmia represent a major worldwide public health problem, accounting for 15-20 % of all deaths. Early resuscitation and defibrillation remains the key to survival, yet its implementation and the access to public defibrillators remains poor, resulting in overall poor survival to patients discharged from hospital. Novel approaches employing smart technology may provide the solution to this dilemma. Though the majority of cases are attributable to coronary artery disease, a thorough search for an underlying cause in cases where the diagnosis is unclear is necessary. This enables better management of arrhythmia recurrence and screening of family members. The majority of cases of SCD occur in patients who do not have traditional risk factors for arrhythmia. New and improved large scale screening tools are required to better predict risk in the wider population who represent the majority of cases of SCD.
心源性猝死（SCD）和心律失常是全球主要的公共卫生问题，占所有死亡人数的15%-20%。早期复苏和除颤仍然是生存的关键，但其实施情况以及公众使用除颤器的机会仍然很差，导致出院患者的总体生存率较低。采用智能技术的新方法可能为这一困境提供解决方案。虽然大多数病例归因于冠状动脉疾病，但在诊断不明确的情况下，彻底寻找潜在病因是必要的。这有助于更好地管理心律失常复发并筛查家庭成员。大多数SCD病例发生在没有传统心律失常危险因素的患者中。需要新的和改进的大规模筛查工具，以更好地预测代表大多数SCD病例的更广泛人群中的风险。
