Department of Public Health Sciences, Queen's University, Kingston, Canada.
Department of Medicine, Queen's University, Kingston, Canada.
Curr Cardiol Rep. 2020 Oct 10;22(12):168. doi: 10.1007/s11886-020-01419-6.
Although rare, sudden cardiac death (SCD) in the young is a tragic event, having a dramatic impact upon all involved. The psychosocial burden associated with SCD can leave friends, families, and entire communities bereft. With only limited evidence to describe the volatile emotional reactions associated with a young SCD, there is an urgent need for care providers to better understand the psychological complexities and impacts faced by both at-risk individuals and those directly affected by these tragic events.
Current knowledge of the psychosocial implications associated with SCD in the young has recently generated interest in the cardiovascular community, with the goal of addressing prevention strategies (screening), family bereavement, and the psychological impact of at-risk or surviving individuals. With the emergence of novel strategies aimed at reducing the public health impact of SCD in the young, further discussion regarding the psychosocial impact of SCD, encompassing prevention, survivorship, and the downstream communal effects of a young death is required. Support systems and intervention could assist in the management of the associated psychosocial burden, yet there is a lack of clinical guidelines to direct this form of care. There is an important need for multidisciplinary collaboration across subspecialties to provide support to grieving individuals and manage patient well-being throughout the screening process for SCD. This collaborative approach requires the integration of cardiovascular and psychological expertise where relevant.
尽管罕见，年轻人的心脏性猝死（SCD）仍是一件悲剧性事件，对所有相关人员都产生了巨大影响。SCD 相关的心理社会负担可能使朋友、家人和整个社区陷入悲痛。由于仅有有限的证据描述与年轻 SCD 相关的易变情绪反应，因此迫切需要护理人员更好地理解高危个体和直接受这些悲剧性事件影响的个体所面临的心理复杂性和影响。
最近心血管领域对年轻人 SCD 相关心理社会影响的认识引起了关注，目标是解决预防策略（筛查）、家庭丧亲以及高危或幸存个体的心理影响。随着旨在减少年轻人 SCD 的公共卫生影响的新策略的出现，需要进一步讨论 SCD 的心理社会影响，包括预防、生存和年轻人死亡的下游社区效应。支持系统和干预措施可以帮助管理相关的心理社会负担，但缺乏指导这种护理形式的临床指南。多学科合作跨越专业领域，为悲痛的个体提供支持并管理 SCD 筛查过程中的患者福祉非常重要。这种协作方法需要整合心血管和心理专业知识。
