Tresch D D, Thakur R K
Division of Cardiology, Medical College of Wisconsin, Milwaukee, USA.
Emerg Med Clin North Am. 1998 Aug;16(3):649-63, ix. doi: 10.1016/s0733-8627(05)70023-7.
Sudden cardiac death is one of the leading causes of death and a major public health problem that particularly affects the elderly. Sudden cardiac death may be a terminal event after a prolonged debilitating and painful illness, or it may occur following many years of symptoms related to a cardiac disorder; however, in many elderly persons, the cardiac arrest may be the first manifestation of cardiac disease in a supposedly healthy and physically active person. Whether cardiopulmonary resuscitation should be performed in elderly patients who sustain cardiac arrest is a significant issue confronting the medical profession and the general public. Several questions must be answered when evaluating the decision of whether or not to perform cardiopulmonary resuscitation on an elderly patient.
心脏性猝死是主要死因之一，也是一个主要的公共卫生问题，尤其影响老年人。心脏性猝死可能是在长期衰弱和痛苦疾病之后的终末事件，或者可能在出现与心脏疾病相关的多年症状之后发生；然而，在许多老年人中，心脏骤停可能是在一个看似健康且身体活跃的人身上心脏病的首发表现。对于发生心脏骤停的老年患者是否应进行心肺复苏是医学界和公众面临的一个重要问题。在评估对老年患者是否进行心肺复苏的决定时，必须回答几个问题。
