基本SCD预防及ICD适应症指南

亡原因Suddencardiacarrest(SCA)目前美国主要死亡原因每年450,000例每天1200例每小时50例每80秒1例大多数的SCA发生在临床确诊的心脏病患者中,特别是心梗后和心衰的患者1Circulation.2001;104:2158-2163.2MyerburgRJ,CastellanosA.CardiacArrestandSuddenCardiacDeath,inBraunwaldE,ZipesDP,LibbyP,HeartDisease,AtextbookofCardiovascularMedicine.6thed.2001.W.B.Saunders,Co.3EveryN,etal.RiskofSuddenversusNonSuddenCardiacDeathinPatientwithCoronaryArteryDisease.AmHeartJ2002;144:390-6.美国SCA的发病情况在美国,所有心脏原因引起的死亡中,SCA大约占63%1在发达国家中,SCA是最常见的死亡原因之一1MMWR.Vol51(6)Feb.15,2002.2MyerbergRJ,CatellanosA.CardiacArrestandSuddenCardiacDeath.In:BraunwaldE,ed.HeartDisease:ATextbookofCardiovascularMedicine.5thEd.NewYork:WBSaunders.1997:742-779.3Circulation.2001;104:2158-2163.4Vreede-SwagemakersJJetal.JAmCollCardiol1997;30:1500-1505.SCA的统计情况地区发病人数生存率全球3,000,0002<1%2美国450,0003~5%2欧洲400,0004<5%4