Sudden cardiac death – unexpected deaths

Sudden cardiac death is a big problem for the medical industry. It is estimated that the rate of cardiac arrest saved outside the hospital is only about 10%. 

Sharing on the sidelines of a conference on updating technology on new generation defibrillators, Dr. Pham Nhu Hung, Deputy Director of Hanoi Heart Hospital, said that in the US every year there are About 400,000 patients have sudden cardiac death, this number in Europe is 500,000 cases.

In our country, it is estimated that there are up to More than 100,000 patients suffer sudden cardiac death each year. 

At that time, the patient suddenly develops ventricular tachycardia and ventricular fibrillation, an arrhythmia that can easily cause death. The case of a 32-year-old female patient (Hanoi) who was recently transferred to Hanoi Heart Hospital for emergency treatment is an example. 

According to Dr. Hung, the patient suddenly had ventricular fibrillation with symptoms of fainting. Fortunately, the house was close to the hospital so the patient was treated promptly. In this case, if we were far from the hospital, the doctors probably wouldn’t have been able to save us. 

To prevent arrhythmias that may cause sudden death in the future, the patient is then prescribed an automatic defibrillator. Previously, the patient had a history of congenital heart disease and had surgery since he was 14 years old. 

There are many causes of sudden cardiac death. Cases with a higher risk of sudden death are patients with heart failure, myocardial infarction, congenital heart disease… and even some cases after cardiovascular surgery, especially patients with arrhythmias. 

The youngest case of sudden cardiac death that doctors have ever seen was in a 7-year-old child. Therefore, to reduce the burden of sudden death, in addition to controlling risk factors, early detection of the risk of sudden death also plays a very important role. 

There are many other methods to treat arrhythmias such as RF ablation and pacemaker placement. defibrillator…

Dr. Hung said that the latest generation defibrillator implanted in the patient’s body has the ability to connect wirelessly to the patient’s phone via Bluetooth technology. low quantity. The system helps doctors remotely monitor patients and intervene promptly if patients have unusual symptoms. 

“In addition, this device also has the ability to reduce treatment time for arrhythmias in patients at risk of hemodynamic instability. Hanoi Heart Hospital is the leading unit “The first in the country to implant this device in a patient,” Dr. Hung said.

Remote monitoring is the standard treatment for patients with arrhythmias who have a pacemaker installed. vibrate automatically.