Abstract:
BACKGROUND:Public access defibrillation programs have demonstrated a survival benefit in persons with out-of-hospital cardiac arrest. However, little is known about the effectiveness of early defibrillation in young competitive athletes with sudden cardiac arrest (SCA). OBJECTIVES:The purpose of this study was to investigate the details and outcomes of resuscitation in a cohort of intercollegiate athletes with SCA. METHODS:Nine cases of SCA in intercollegiate athletes occurring between 1999 and 2005 were identified through prior research and public media. A detailed questionnaire was completed by the certified athletic trainer involved in the resuscitation, and direct phone follow-up was achieved in every case. RESULTS:Nine intercollegiate athletes with SCA (4 basketball, 2 football, 2 lacrosse, and 1 swimming) had an average age of 21 years (range 18-30 years). All 9 athletes had a witnessed collapse, 7 occurred during practice, 1 during competition, and 1 during organized weight training. Cardiopulmonary resuscitation (CPR) was initiated within 30 seconds after cardiac arrest in 6 cases and by 1 minute in 2 additional cases. An automated external defibrillator (AED) was provided by an athletic trainer in 5 cases and by arriving emergency medical services (EMS) in 4 cases. The initial cardiac rhythm was confirmed or suspected ventricular fibrillation in 7 athletes, pulseless idioventricular rhythm in 1 case, and unknown in 1 case. In 7 cases a shock was deployed, with an average time from cardiac arrest to defibrillation of 3.1 minutes (range 1-7.5 minutes). The average time from arrest to defibrillation decreased significantly if an AED was provided by an athletic trainer as compared with the responding EMS (1.6 vs 5.2 minutes; P = .046). Eight of the 9 athletes died. The underlying cause of sudden cardiac death was hypertrophic cardiomyopathy in 5, commotio cordis in 2, and myocardial infarction in 1. Diagnostic studies in the survivor demonstrated no structural heart disease or precise cause of SCA. CONCLUSION:Despite witnessed collapse, immediate CPR, and prompt AED use in most cases, early defibrillation showed limited success, and survival was less than expected in this small cohort of intercollegiate athletes. More research is needed to determine the effectiveness of early defibrillation and factors that affect survival in young athletes with SCA.
journal_name
Heart Rhythmjournal_title
Heart rhythmauthors
Drezner JA,Rogers KJdoi
10.1016/j.hrthm.2006.03.023subject
Has Abstractpub_date
2006-07-01 00:00:00pages
755-9issue
7eissn
1547-5271issn
1556-3871pii
S1547-5271(06)01325-7journal_volume
3pub_type
杂志文章相关文献
HEART RHYTHM文献大全abstract::Recent new information on the dynamics and molecular mechanisms of electrical rotors and spiral waves has increased our understanding of both atrial fibrillation and ventricular fibrillation. In this brief review, we evaluate the available evidence for the separate roles played by individual sarcolemmal ion channels i...
journal_title:Heart rhythm
pub_type: 杂志文章,评审
doi:10.1016/j.hrthm.2008.02.034
更新日期:2008-06-01 00:00:00
abstract::Quinolone antibiotics have potentially serious proarrhythmic effects. The effects on intracardiac potassium channels result in QT interval prolongation, leading to torsades de pointes. Evidence suggests fluoroquinolones cause QT-mediated proarrhythmia, and weak evidence links ciprofloxacin with QT-mediated arrhythmias...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2004.06.020
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:Hyperthyroidism is a known reversible cause of atrial fibrillation (AF). However, some patients remain in AF despite restoration of euthyroid status. OBJECTIVE:The purpose of this study was to compare the electrophysiologic characteristics and long-term ablation outcome in AF patients with and without histo...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2015.06.004
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Mildly symptomatic heart failure (HF) patients were shown to derive substantial clinical benefit from cardiac resynchronization therapy with defibrillator (CRT-D) in Multicenter Automatic Defibrillator Implantation Trial in Cardiac Resynchronization Therapy. However, the relationship between functional capac...
journal_title:Heart rhythm
pub_type: 杂志文章,多中心研究
doi:10.1016/j.hrthm.2012.04.018
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Experience with retrieval of the Micra transcatheter pacing system (TPS) is limited because of its relatively newer technology. Although abandonment of the TPS at end of life is recommended, certain situations such as endovascular infection or device embolization warrant retrieval. OBJECTIVE:The purpose of ...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2018.02.008
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Recurrences are common within the first months following atrial fibrillation (AF) ablation. However, prior studies using only intermittent ECG recording have not shown a powerful correlation with ultimate response. OBJECTIVE:The purpose of this study was to use continuous AF monitoring with an implanted mon...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2012.03.047
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:A considerable rate of atrial fibrillation (AF) recurrence is one of the major limitations of pulmonary vein isolation (PVI). Although endothelin-1 (ET-1) is involved in atrial remodeling, it is unknown whether plasma ET-1 level before PVI can be used as a predictive factor for AF recurrence. OBJECTIVE:The ...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2009.02.027
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:Antitachycardia pacing (ATP) can reduce implantable cardioverter-defibrillator shocks, but its use in children and patients with congenital heart disease (CHD) is not well described. OBJECTIVE:To review the efficacy of ATP in children and patients with CHD. METHODS:We reviewed implantable cardioverter-defi...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2012.06.042
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Once chamber geometry is determined, the EnSite 3000 noncontact mapping system can create a voltage map during a single cardiac cycle. The EnSite uses an inverse solution to the Laplace equation to process the amplified far-field signals from the noncontact catheter. This process creates a three-dimensional ...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2007.10.026
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND:Radiofrequency ablation of epicardial and mid-myocardial ventricular arrhythmias is limited by lesion depth. OBJECTIVE:The purpose of this study was to generate deep mid-interventricular septal (IVS) lesions using high-intensity ultrasound (US) from an endocardial catheter-based approach. METHODS:Irrigated...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2020.12.027
更新日期:2020-12-29 00:00:00
abstract:BACKGROUND:Little is known about the exact boundaries of the reentrant circuit in the slow-slow form of atrioventricular nodal reentrant tachycardia (AVNRT). OBJECTIVE:The purpose of this study was to examine the tachycardia circuit in the slow-slow form of AVNRT. METHODS:Single extrastimuli were delivered during the...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2007.02.010
更新日期:2007-06-01 00:00:00
abstract:BACKGROUND:Remote monitoring (RM) is an established technology integrated into routine follow-up of patients with an implantable cardioverter-defibrillator (ICD). Current RM systems differ according to transmission frequency and alert definition. OBJECTIVE:The purpose of this study was to compare the time difference b...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2018.05.025
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Myocardial fibrosis (macroscopic scar or diffuse reactive fibrosis) is one of the determinants of impaired left ventricular (LV) global longitudinal strain (GLS) in heart failure (HF) patients. OBJECTIVE:The purpose of this study was to evaluate the prognostic value of LV GLS in HF patients treated with car...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2018.03.034
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:QRS transition zone is related to the electrical axis of the heart in the horizontal plane and is easily determined from the precordial leads of a standard 12-lead ECG. However, whether delayed QRS transition, or clockwise rotation of the heart, carries prognostic implications and predicts sudden cardiac dea...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2014.08.014
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:The mechanism of bundle branch reentrant tachycardia has been described, and ablation of the right bundle branch (RBB) is a curative approach. OBJECTIVE:The purpose of this study was to evaluate the left bundle branch (LBB)-Purkinje system during sinus rhythm and to test the feasibility of ablating the LBB ...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2008.09.028
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Regions of rapid and multiple deflections can be identified with high dominant frequency (DF) during sinus rhythm (SR). These areas may play a role in the perpetuation of atrial fibrillation (AF) and indicate an atrial substrate abnormality. OBJECTIVE:The purpose of this study was to investigate the atrial ...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2008.03.039
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:In general, the prognosis is poor for pediatric patients who experience out-of-hospital (OOH) cardiac arrest, with survival rates of 12% to 29%. OBJECTIVE:The purpose of this study was to describe the causes and outcomes of pediatric patients with documented ventricular fibrillation (VF) at resuscitation fr...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2017.08.014
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Although risks and life-threatening complications associated with lead extraction are well characterized, practice patterns vary regarding whether procedures are performed in an operating room (OR) or electrophysiology (EP) laboratory with cardiothoracic surgical backup. OBJECTIVE:Our objective was to compa...
journal_title:Heart rhythm
pub_type: 杂志文章,多中心研究
doi:10.1016/j.hrthm.2011.02.007
更新日期:2011-07-01 00:00:00
abstract::Ventricular fibrillation (VF), despite its declining incidence as a cause of sudden cardiac death, is still a major health problem. The underlying mechanisms for the maintenance of VF are still disputed. Studies suggest that VF is unlikely one static mechanism but rather a dynamic process of electrical derangement tha...
journal_title:Heart rhythm
pub_type: 杂志文章,评审
doi:10.1016/j.hrthm.2008.11.005
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:More sustained forms of atrial fibrillation (AF) are less amenable to treatment and associated with worse outcomes, but the incidence and predictors of AF progression are not well defined. OBJECTIVE:The purpose of this study was to perform a systematic review and meta-analysis assessing the incidence and pr...
journal_title:Heart rhythm
pub_type: 杂志文章,meta分析
doi:10.1016/j.hrthm.2018.10.022
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:The efficacy of cascade screening for the inherited heart conditions long QT syndrome (LQTS) and hypertrophic cardiomyopathy (HCM) is incompletely characterized. OBJECTIVE:The purpose of this study was to examine the use of genetic testing and yield of cascade screening across diverse regions in the United ...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2019.06.015
更新日期:2020-01-01 00:00:00
abstract::Pulmonary vein antrum isolation offers safe and effective treatment of atrial fibrillation by eliminating the potential triggers of this arrhythmia. The pulmonary vein antra encompass, in addition to the pulmonary veins, the left atrial roof and posterior wall and, in the case of the right pulmonary vein antra, a port...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2006.12.036
更新日期:2007-03-01 00:00:00
abstract:BACKGROUND:Atrioventricular nodal reentrant tachycardia (AVNRT) may coexist with Brugada syndrome (BrS). OBJECTIVES:The present study was designed to determine the prevalence of drug-induced type 1 Brugada ECG pattern (concealed BrS) in patients presenting with clinical spontaneous AVNRT and to investigate their elect...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2015.03.015
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Termination of persistent atrial fibrillation (AF) is a valuable ablation endpoint but is difficult to anticipate. We evaluated whether temporal and spatial indices of AF regularization predict intraprocedural AF termination and outcome. OBJECTIVE:The purpose of this study was to test whether temporospatial...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2011.05.008
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:Electrocardiographic imaging (ECGI) is a method for noninvasive epicardial electrophysiologic mapping. ECGI previously has been used to characterize the electrophysiologic substrate and electrical synchrony in a very heterogeneous group of patients with varying degrees of coronary disease and ischemic cardio...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2011.01.017
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND:Ablation of the aortic sinus of Valsalva in adults for ectopic atrial tachycardia (EAT) and ventricular tachycardia (VT)/premature ventricular complexes (PVCs) has been reported in only a very few patients. Limited data exist concerning the safety of aortic ablation. OBJECTIVE:The purpose of this study was ...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2008.06.010
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVES:The aim of this multicenter study was to evaluate the device- and procedure-related safety of a novel force-sensing radiofrequency (RF) ablation catheter capable of measuring the real-time contact force (CF) and to present CF data and its possible implications on patient safety. BACKGROUND:The clinical outc...
journal_title:Heart rhythm
pub_type: 杂志文章,多中心研究
doi:10.1016/j.hrthm.2011.08.021
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Device replacement is the ideal time to reassess health care goals regarding continuing implantable cardioverter-defibrillator (ICD) therapy. Only few data are available on the decision making at this time. OBJECTIVES:The goals of this study were to identify factors associated with poor prognosis at the tim...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2020.11.024
更新日期:2020-11-27 00:00:00
abstract:BACKGROUND:Lead malfunction is an important cause of morbidity and mortality in patients with an implantable cardioverter-defibrillator (ICD). We have shown that the failure of recalled high-voltage leads significantly increases after ICD generator replacement. However, generator replacement has not been recognized as ...
journal_title:Heart rhythm
pub_type: 杂志文章,多中心研究
doi:10.1016/j.hrthm.2014.06.018
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:The origin of outflow tract ventricular tachycardia (OTVT) can be predicted from a surface electrocardiogram: indexes of R-wave amplitudes in leads V(1) and V(2) are used to differentiate a right origin from a left origin, while the axis of lead I differentiates an anterior origin from a posterior origin. In...
journal_title:Heart rhythm
pub_type: 杂志文章
doi:10.1016/j.hrthm.2011.12.007
更新日期:2012-05-01 00:00:00