Geslin P
Service de cardiologie, CHU, Angers.
Arch Mal Coeur Vaiss. 1993 Feb;86 Spec No 2:9-14.
The relationship between the incidence of ventricular arrhythmias and sudden death in chronic cardiac failure is, in fact, true as arrhythmias are mainly related to the severity of left ventricular dysfunction. If sudden death in subjects without cardiac failure is usually attributed to arrhythmia, in chronic cardiac failure it is often the result of sudden collapse, the mechanism of which is not well known. The distinction between sudden and non-sudden death therefore loses much of its value.
事实上,慢性心力衰竭中心室心律失常的发生率与猝死之间的关系确实存在,因为心律失常主要与左心室功能障碍的严重程度有关。如果说无心力衰竭患者的猝死通常归因于心律失常,那么在慢性心力衰竭患者中,猝死往往是突然心脏骤停的结果,其机制尚不清楚。因此,猝死与非猝死之间的区别就失去了很大的价值。