Sudden Cardiac death and general Flashcards
asystole
total lack of cardiac pumping
Broad causes of sudden death
mechanical pump failure
cardiac electrical signaling failure
Sudden cardiac death…epidemiology
3 X more common in males
more common in AA (lower in Hispanics and Asians)
incidence increases w/ age
Aproximately 80% of sudden cardiac deaths are attributed to…
CAD
second most common cause of sudden cardiac death
Hypertensive heart disease
Other causes of sudden cardiac death
myocarditis channelopathies (hereditary diseases of the cardiac conduction system) hypertrophic cardiomyopathy idiopathic dilated cardiomyopathy cardiac sarcoidosis cardiac amyloidosis RV cardiomyopathy
Sudden cardiac death is usually due to…
ventricular tachyarrhythmia
channelopathies
diseases of Na, K, or Ca ion channels
right ventricular cardiomyopathy
associated w/ mutations in genes for cell adhesion proteins
important for low-resistance gap junctions b/w cardiac myocytes, vital for signal conduction b/w cells
Familial catecholeminergic polymorphic ventricular tachycardia
associated w/ mutations in genes for ryanodine receptors