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Review

Survivors of sudden cardiac death: a rational approach to evaluation and therapy of patients surviving ventricular fibrillation

Arthur J. Rabinowitz, MD and James D. Maloney, MD
Cleveland Clinic Journal of Medicine March 1992, 59 (2) 166-172;
Arthur J. Rabinowitz
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James D. Maloney
Department of Cardiology, The Cleveland Clinic Foundation.
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ABSTRACT

Survivors of out-of-hospital cardiac arrest that is not associated with acute myocardial infarction are at high risk for subsequent life-threatening ventricular tachyarrhythmias. A rational approach to evaluating the underlying disease processes and to formulating a specific treatment plan for these patients is presented. A protocol is suggested whereby existing cardiac conditions are appropriately treated and hemodynamic parameters are optimized. Myocardial ischemia is minimized with drugs or revascularization; this may suffice to prevent recurrence of sudden cardiac death in a small group of patients. For remaining patients at high risk of recurrence, the implantable cardioverter-defibrillator is the therapy associated with the lowest rate of mortality.

INDEX TERMS
  • Death
  • Sudden
  • Heart Arrest
  • Arrhythmia
  • Coronary Disease
  • Copyright © 1992 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 59 (2)
Cleveland Clinic Journal of Medicine
Vol. 59, Issue 2
1 Mar 1992
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Survivors of sudden cardiac death: a rational approach to evaluation and therapy of patients surviving ventricular fibrillation
Arthur J. Rabinowitz, James D. Maloney
Cleveland Clinic Journal of Medicine Mar 1992, 59 (2) 166-172;

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Survivors of sudden cardiac death: a rational approach to evaluation and therapy of patients surviving ventricular fibrillation
Arthur J. Rabinowitz, James D. Maloney
Cleveland Clinic Journal of Medicine Mar 1992, 59 (2) 166-172;
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Keywords

  • Death
  • Sudden
  • Heart Arrest
  • Arrhythmia
  • Coronary Disease

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