Predicting and preventing sudden cardiac death.

摘要

Case presentation: A 61-year-old moderately obese (body mass index 28.1 kg/m2) hypertensive diabetic man without any prior cardiac history collapsed suddenly at a town meeting. Bystander cardiopulmonary resuscitation was initiated, an automated external defibrillator available at the town hall was deployed, and a single shock was delivered. He regained a pulse and spontaneous respirations. He was transported to the local hospital, where he was stabilized, but remained comatose. The patient was immediately transferred to a tertiary hospital, where a therapeutic hypothermia protocol was initiated. No ECG or laboratory evidence of a transmural myocardial infarction (MI) was present.