TY - JOUR
T1 - Evaluation and management of sudden death survivors
AU - Gilman, James K.
AU - Naccarelli, Gerald
N1 - Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 1997
Y1 - 1997
N2 - Only 20% of patients survive a cardiac arrest. Up to 80% of patients have a cardiac arrest secondary to a ventricular tachyarrhythmia. In the adult population, over 70% of the above patients have obstructive coronary artery disease, thus, coronary arteriography should be performed in all survivors of cardiac arrest. Once reversible causes have been treated, antiarrhythmic therapy is usually guided by Holter monitoring, electrophysiologic testing or both. Due to high recurrence rates on antiarrhythmic drugs, many patients are now treated with implantable cardioverter defibrillators. Although these devices appear to improve sudden death survival, long-term overall survival may not be superior to 'best drug therapy.' This hypothesis is currently being tested in two prospective randomized, multicenter trials.
AB - Only 20% of patients survive a cardiac arrest. Up to 80% of patients have a cardiac arrest secondary to a ventricular tachyarrhythmia. In the adult population, over 70% of the above patients have obstructive coronary artery disease, thus, coronary arteriography should be performed in all survivors of cardiac arrest. Once reversible causes have been treated, antiarrhythmic therapy is usually guided by Holter monitoring, electrophysiologic testing or both. Due to high recurrence rates on antiarrhythmic drugs, many patients are now treated with implantable cardioverter defibrillators. Although these devices appear to improve sudden death survival, long-term overall survival may not be superior to 'best drug therapy.' This hypothesis is currently being tested in two prospective randomized, multicenter trials.
UR - http://www.scopus.com/inward/record.url?scp=0031057688&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031057688&partnerID=8YFLogxK
U2 - 10.1177/088506669701200101
DO - 10.1177/088506669701200101
M3 - Review article
AN - SCOPUS:0031057688
SN - 0885-0666
VL - 12
SP - 1
EP - 11
JO - Journal of Intensive Care Medicine
JF - Journal of Intensive Care Medicine
IS - 1
ER -