Sudden Cardiac Death

316 Pages·1990·7.79 MB·English

by  A. Bayés de Luna

SUDDEN CARDIAC DEATH
Developments in
Cardiovascular Medicine
VOLUME 110
The titles published in this series are listed at the end of this volume.
Sudden Cardiac Death
edited by
A. BAYES DE LUNA
Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
P.BRUGADA
University Hospital, Maastricht, The Netherlands
J. eOSIN AGUILAR
Hospital La Fe, Valencia, Spain
and
F. NAVARRO-LOPEZ
University of Barcelona, Hospital Clinic, Barcelona, Spain
Kluwer Academic Publishers
DORDRECHT/LONDON/BOSTON
Library of Congress Cataloging-in-Publication Data
Sudden cardiac death / edited by A. Bayes de Luna ... [et a1.].
p. cm. - (Developments in cardiovascular medicine; v. 110)
ISBN -13: 978-94-010-6745-4 e-ISBN-13 :978-94-009-0573-3
DOl: 10.1007/978-94-009-0573-3
1. Cardiac arrest. I. Bayes de Luna, Antonio. II. Series.
[DNLM: 1. Arrhythmia. 2. Death, Sudden. 3. Heart Arrest. WI
DE997VME v. 110 /WG 205 S94 124]
RC685.C173S77 1990
616.1 '23'025-dc20
DNLM/DLC
for library of Congress 90-4217
CIF
ISBN -13: 978-94-010-6745-4
Published by Kluwer Academic Publishers,
P.O. Box 17, 3300 AA Dordrecht, The Netherlands.
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All Rights Reserved
© 1991 by Kluwer Academic Publishers
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copyright owner.
Table of contents
Preface ix
List of contributors xi
1. Sudden cardiac death 1990: An update
by A. Bayes de Luna, J. Guindo, J. Bartolucci, P. Tomer, M. Dominguez,
and R. Oter 1
2. Epidemiology of sudden cardiac death
by A.J. Moss 13
3. Out-of-hospital sudden death in Spain
by J. Cosin Aguilar 19
4. Thrombosis, antithrombotic therapy and sudden death
by J.H. Ip and V. Fuster 31
5. The potential for antiarrhythmic drugs to reduce mortality from sudden
cardiac death
by J.Th. Bigger, Jr. 41
6. Value of beta-blockers in the treatment of ventricular arrhythmias
by N. Rehnqvist 63
7. Psychological stress and sudden cardiac death
by S. Garcia-Sanchez, J. Guindo and A. Bayes de Luna 71
8. Acute and chronic components of ischaemia in acute ischaemic
syndromes
by A. Maseri 83
vi Table of contents
9. Markers and trigger mechanisms of sudden cardiac death: Excercise
and sports activity
by F. Furlanello, R. Bettini, G. Vergara, A. Bertoldi, M. Del Greco,
G.B. Durante and L. Frisanco 87
10. Lessons from recordings of sudden death by Holter monitoring
by J.-F. Leclercq and Ph. Coumel 99
11. Profile of the candidate for sudden cardiac death
by R.W.F. Campbell 113
12. Sudden death in patients with intraventricular conduction disorders
by H.E. Kulbertus 121
13. Acute drug test
by A. Bayes de Luna, J. Guindo, S. Garda-Sanchez, P. Tomer and
R. Oter 127
14. Malignant ventricular arrhythmias: Serial electrophysiologic testing
by J. Almendral and A. Arenal 135
15. Non pharmacological treatment of ventricular tachycardia
by H.-J. Trappe, H. Klein, G. Frank, P. Wenzlaff and P.R. Lichtlen 147
16. Fulguration of chronic ventricular tachycardia. Results on 53 consecu-
tive cases with a follow-up ranging from 8 to 70 months
by G. Fontaine, R. Frank, J. Tonet, I. Rougier, G. Farenq, G. Lascault
and Y. Grosgogeat 163
17. Transcoronary chemical ablation of tachycardias
by P. Brugada, H. de Swart, J.L.R.M. Smeets and H.J.J. Wellens 179
18. Sudden death and the autonomic nervous system: The prognostic value
of heart rate variability
by Ph. Coumel and J.-P. Deschamps 191
19. Ventricular electrical instability: Markers and trigger mechanisms
by G. Breithardt, M. Borggrefe, A. Martinez-Rubio 209
20. Risk factors of sudden cardiac death after acute myocardial infarction:
Ventricular disfunction, ischemia and ventricular arrhythmias
by F. Navarro-Lopez 223
21. Acute non-Q wave myocardial infarction: A summary of the diltiazem
reinfarction study (DRS) and the multicenter diltiazem post-infarction
trial (MDPIT)
by W.E. Boden and R.E. Kleiger 239
Table of contents vii
22. Treatment of heart failure: Impact on sudden death
by J. Guindo, A. Bayes de Luna, P. Tomer, J. Bartolucci and
R. Estiarte 255
23. Can sudden death be avoided by timely revascularization of obstructed
coronary arteries?
by P.G. Hugenholz and J.R.T.C. Roelandt 267
24. Sudden cardiac death: A multifactorial problem
by H.J.J. Wellens and P. Brugada 285
25. Final conclusions
by P. Puech 297
Index 299
Preface
Sudden death is probably the greatest challenge facing modem cardiology today.
This is mainly due to the impact of its brusque appearance and the socioeconomic
implications. The incidende is presently decreasing somewhat, mainly due to the
decline in new cases of ischemic heart disease on one hand, and to better preven
tion in risk patients on the other. Nevertheless, the figures are still high and
represent over 300.000 patients per year in the United States alone.
This book is an updating of the problem of sudden death from a multifactorial
standpoint. It includes not only electrophysiologic data but also covers aspects
ranging from epidemiology to prevention. Risk markers and triggering
mechanicsms of sudden death are reviewed, with special emphasis on the role of
electrical instability, ischemia and depressed ventricular function. The book
includes the contributions from many experts, often pioneers in their respective
fields.
It is our hope that the book serves as an Updating for those cardiologist who are
not specialized in these subjects, but may also be of interest to the expert.
We wish to express our sincerest gratitude to the authors for sending in their
work so promptly, and also Kluwer Academic Publishers for their exactitude and
perfection in this edition.
Barcelona, September 1990 The Editors
List of contributors
J. ALMENDRAL
Servico de Cardiologia, Hospital Gral. 'Gregorio Marafi6n', Madrid, Spain
Chapter 14 co-author: A. ARENAL
A. BAYES DE LUNA
Department of Cardiology, Hospital de la Santa Creu i Sant Pau, University of
Barcelona, Avda. San Antonio Maria Claret 167, Barcelona 08025, Spain
Chapter 1 co-authors: J. GUINDO, J. BARTOLUCCI, P. TORNER, M. DOMIN
GUEZ and R. OTER
Chapter 13 co-authors: J. GUINDO, S. GARdA-sANCHEZ, P. TORNER and R.
OTER
J.Th. BIGGER, Jr.
Arrhythmia Control Unit, Columbia-Presbyterian Medical Center, 630 West 168th
Street, New York, NY 10032/401 East 86th Street, New York, NY 10028, USA
Chapter 5
W.E.BODEN
Division of Cardiology, Department of Internal Medicine, Harper Hospital,
3990 John R. Street, Detroit, MI 48021, USA
Chapter 21: co-author: R.E. KLEIGER
G. BREITHARDT
Medizinische Klinik und Poliklinik, Innere Medizin C (Kardiologie, Angiologie),
WestfaIische Wilhelms-Universitiit, Albert-Schweitzer-Str. 33, D-4400 Miinster,
Germany
Chapter 19 co-authors: M. BORGGREFE and A. MARTiNEZ-RUBIO
P.BRUGADA
Department of Cardiology, Academic Hospital, University of Limburg, P.O. Box
1918,6201 BX Maastricht, The Netherlands
Chapter 17 co-authors: H. DE SWART, J.L.R.M. SMEETS and H.J.J WELLENS
xii List of contributors
R.W.F. CAMPBELL
Professor of Cardiology, University of Newcastle upon Tyne, Freeman Hospital,
Newcastle upon Tyne NE7 7DN, UK
Chapter 11
J. COSIN AGUILAR
Research Group Spanish Trail on Sudden Death, Hospital 'La Fe', Av de Cam
panar 21, 46009 Valencia, Spain
Chapter 3
Ph.COUMEL
Hopital Lariboisiere, 2 rue Ambroise-Pare, F-75475 Paris, France
Chapter 18 co-author: J.-P. DESCHAMPS
G.FONTAINE
Hopital Jean Rostand, 39-41 rue Jean Le Galleu, F-94200 Ivry, France
Chapter 16 co-authors: R. FRANK, J. TONET, I. ROUGIER, G. FARENQ, G.
LASCAULT and Y. GROSGOGEAT
F. FURLANELLO
Divisione di Cardiologia e Centro Aritmologico, Ospedale S. Chiara, 38100 Trento,
Italy
Chapter 9 co-authors: R. BETTINE, G. VERGARA, A. BERTOLDI, M. DEL
GRECO, G.B. DURANTE and L. FRISANCO
S. GARciA-sANCHEZ
Department of Cardiology, Sant Pau Hospital, Research Foundation Santa Creu i
Sant Pau, Barcelona, Spain
Chapter 7 co-authors: J. GUINDO and A. BAYES DE LUNA
J.GUINDO
Departamento de Cardiologfa, Hospital de la Santa Creu i Sant Pau, Universidad
Autonoma de Barcelona, Avda. San Antonio Maria Claret 167, Barcelona 08025,
Spain
Chapter 22 co-authors: A. BAYES DE LUNA, P. TORNER, J. BARTOLUCCI
and R. ESTIARTE
P.G. HUGENHOLTZ
Erasmus University, Rotterdam, The Netherlands
Chapter 23 co-author: J.R.T.C. ROELANDT
J.H.IP
Department of Medicine, Division of Cardiology, The Mount Sinai Medical Center,
One Gustave Levi Place, New York, NY 10029, USA
Chapter 4 co-author: V. FUSTER