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Sudden cardiac death (SCD) refers to sudden death due to cardiac causes, i.e., irreversible cessation of all biological functions. It is a natural death that can occur in patients with or without known heart disease. Often presents with sudden loss of consciousness.
Death is unexpected, occurring within 1 hour of the onset of acute symptoms, but some survivors of cardiac arrest can die beyond this time.
Sudden cardiac death is the most common cause of sudden natural death and occurs age-inhabited. In the first 6 months of life, the incidence of sudden death due to sudden infant death syndrome constitutes the first peak. Thereafter, the incidence decreases sharply, reaching a second peak between the ages of 45 and 75.
Sudden cardiac death accounts for about 30.40 percent of cardiovascular mortality, and about 30.4 million sudden cardiac deaths occur annually in the United States. At the beginning of the 21st century, the incidence of sudden cardiac death in China is also on the rise, especially in middle-aged and elderly cardiovascular patients. Its absolute number is estimated to be between 150,200 person-years.
Epidemiological analysis shows that increasing age is a risk factor for sudden cardiac death: in middle-aged and elderly centers, sudden original death accounts for more than 80 90 of all sudden natural deaths. The incidence is higher in males than in females (about 4 1).
Between the ages of 45 and 64, the difference in incidence between men and women is even greater, with almost 7 1.
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In recent years, cases of sudden death from heart disease are not uncommon in the newspapers, and the incidence of the disease has gradually developed from middle-aged and elderly to young people, and a considerable number of patients have no obvious physical abnormalities before the onset of the disease. It is important to note that the vast majority of sudden deaths occur outside the hospital, and the chance of surviving is horribly low, less than 1%.
Research data show that the incidence of sudden cardiac death in China is 10,000, and the total number of sudden cardiac deaths is as high as 10,000 years, ranking first among all countries in the world. Experts say that the occurrence of sudden cardiac death is sudden and difficult. Therefore, the effectiveness of the prevention and treatment of sudden cardiac death is the key to reducing the mortality rate from heart disease.
Especially for the elderly, the prevention of sudden cardiac death needs to do a good job in these six aspects.
1. Usually pay attention to the original disease; For example, if you have high blood pressure, diabetes, hyperlipidemia, arteriosclerosis, coronary heart disease, etc., even if the symptoms are not obvious, you should not take it lightly and intermittently**.
2. Pay attention to avoid emotional excitement and overexcitement, try to avoid anger, quarrels, anger, etc., be happy and optimistic, and strive to achieve psychological balance. Participate in appropriate cultural and sports activities.
3. Prevent overwork, avoid overload of physical and mental work, and pay attention to gradual exercise, combining work and rest.
4. No smoking and less alcohol.
5. The diet should pay attention to the combination of meat and vegetarian food, coarse and fine food, acid and alkaline diet, eat less and eat more meals, and eat less salt and low sugar diet.
6. Regular physical examinations should be carried out, and problems should be prevented and treated in a timely manner.
Recently, the news of the sudden death of the old man and the young man on the bus caused an uproar in the world for a while, which is a typical case of sudden death from heart disease. In daily life, we must not ignore the signals sent by the body, so as to avoid overwork and emotional overexcitement leading to sudden death from heart disease and causing unnecessary tragedies.
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Studies have found that the following groups of people are prone to sudden cardiac death: 1. People with metabolic diseases. For example, high blood pressure, diabetes, hyperlipidemia, etc., if blood pressure, blood sugar, and blood lipids are not well controlled, atherosclerosis will form over time.
Atherosclerosis is systemic, including cardiovascular and cerebrovascular atherosclerosis, and even unstable plaques. If the unstable plaque ruptures, it can lead to a thrombotic event, resulting in acute myocardial infarction or acute cerebral infarction; 2. People with high-intensity exercise. If you don't have adequate systematic exercise, you can easily die if you do high-intensity exercise directly.
In exercise stress experiments, it was found that cardiac arrest was 6 times more common in patients with heart disease than in ordinary patients; 3. People who are under excessive mental pressure, drinking excessively, smoking a lot, and overeating are also prone to sudden cardiac death.
The prevention and treatment of cardiovascular diseases mainly starts with solving risk factors. Including quitting smoking, quitting alcohol, actively high blood pressure, hypercholesterolemia, and exercising moderately, maintaining a healthy and peaceful state of mind, all belong to the lifestyle of preventing cardiovascular disease.
Patients with cardiovascular disease should pay attention to a healthy diet in terms of diet, and the Mediterranean diet is generally recommended. Countries around the Mediterranean often eat deep-sea fish, which contains a lot of deep-sea fish oil, which has a protective effect on the heart and blood vessels, so it is recommended to eat deep-sea fish. In addition, olive oil is recommended for food oil, because olive fruit and olive oil contain a lot of unsaturated fatty acids, which are good for the heart.
At the same time, eat more fresh vegetables, fruits, and dairy products, and eat less high-fat and high-cholesterol foods, which are precautions for the prevention and treatment of cardiovascular diseases.
Daily protection of the heart can be achieved through the following measures:1Keep your weight within reasonable limits.
Weight control helps to reduce the burden on the heart, active exercise, it is recommended to adhere to about an hour of activity every day, such as jogging, for patients with coronary heart disease, as long as it does not cause painful symptoms, you should adhere to a moderate amount of activity every day, and it is not recommended to simply rest in bed.
2.Pay attention to a low-salt, low-fat diet. Usually put less salt and less oil in the diet, eat vegetable oil as much as possible, and eat less or no fatty meat and animal offal.
3.Quit smoking, limit alcohol, and pay special attention to reducing secondhand smoke inhalation. 4.
Reduce the mental burden, maintain a balanced mentality, have a regular schedule and rest, and pay special attention not to stay up late for a long time at night.
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People who stay up late, people who are stressed at work, heart patients, people with high blood pressure, the elderly, etc., these people have certain heart problems. The first thing to do is to maintain a good routine, then eat light foods, and at the same time increase exercise.
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Long-term smoking and alcohol abuse can interfere with blood lipid metabolism, staying up late and stressful + unhealthy diet can lead to immune system imbalance, and sedentary inactivity can lead to decreased metabolism and fat accumulation, all of which can cause blood vessel blockage and embolism, and then evolve into sudden death. First of all, it is necessary to quit smoking and drinking, maintain a good routine and healthy diet, and at the same time supplement products that are beneficial to the cardiovascular and cerebrovascular and immune system, such as "Palovi Pro", through the repair and activation of cells and mitochondria, improve the cardiovascular and cerebrovascular problems, inflammatory and metabolic problems, slow down the aging rate, so as to protect the cardiovascular system and prevent sudden death. Unified understanding.
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People who are too fat, people who are too thin, people who don't usually like to exercise, people who often eat some greasy things, and people who don't eat, these are the most likely to die suddenly. Usually exercise more and eat more meals.
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Reasons:1Smoking a lot of cigarettes will cause strong constriction of coronary arteries, and long-term smoking will induce cardiovascular diseases, myocardial infarction, angina, etc.
2.Heavy alcohol consumption, alcohol consumption can lead to myocardial necrosis and even cardiac and respiratory arrest. 3.
Staying up late will cause the body's biological clock to be disturbed, resulting in overexcitation of sympathetic nerves, increased heart rate, and sudden cardiac death such as ventricular tachycardia and ventricular fibrillation are prone to occur. How to adjust:1
Quit smoking and alcohol 2Pay more attention to rest and stay up less late 3Get plenty of physical activity.
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Young people are under great mental pressure, often staying up late and often working overtime, often eating junk food, and often eating supper will lead to sudden death. Sometimes it is necessary to exercise properly, have a good attitude, and not be too anxious.
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The cause of sudden cardiac death in young people is likely to be the overburden on the body caused by long-term work and not sleeping, so it is necessary to maintain adequate sleep in life.
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First, coronary heart disease is the number one cause of sudden cardiac death**, so you should quit smoking and limit alcohol, control your blood pressure and blood sugar, and exercise appropriately. Doing this can help slow or stop the progression of atheroplaque. Antiplatelet aggregation and plaque stabilization, coronary intervention and heart bypass grafting if necessary can effectively prevent the risk of myocardial infarction and sudden death.
Second, heart failure is also a high-risk group for sudden cardiac death, in addition to ** underlying diseases. Proper use of drugs such as receptor blockers, angiotensin-converting enzyme inhibitors, and spironolactone can help improve heart function. Reduce the risk of sudden cardiac death.
Third, severe valvular or subvalvular aortic stenosis, emotional agitation and strenuous exercise should be avoided. Artificial aortic valve replacement and chemical ablation can reduce the risk of sudden cardiac death.
Fourth, it is of great significance to correct the body's electrolyte and acid-base imbalance, avoid emotional tension and anxiety, and maintain the stability of autonomic nervous system function, which is of great significance for the prevention of sudden cardiac death.
Fifth, for potential malignant arrhythmias, it is necessary to strengthen the underlying cardiac disease, and give anti-arrhythmic drugs if necessary.
Sixth, for idiopathic ventricular tachycardia and ventricular tachycardia after partial myocardial infarction, ventricular fibrillation, etc., the lesions can be removed by radiofrequency ablation or surgical methods, and arrhythmia can be achieved to prevent sudden cardiac death.
Seventh, implantable cardioverter-defibrillator, also known as ICD, is very effective in preventing sudden death caused by ventricular tachycardia or ventricular fibrillation, but it is more expensive. In China, due to the limitations of economic conditions, amiodarone and receptor blocker prevention are still the first choice, and ICDs can be implanted if conditions permit.
Do you understand these seven precautions for preventing sudden cardiac death?
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