Vol 5, No 4 (2014)

Articles
THE MECHANISMS AND CAUSES OF SUDDEN CARDIAC DEATH.FACTORS AND RISK STRATIFICATION IN CLINICAL PRACTICE. DEFINITIONS AND TERMS
Ardashev A.V., Arutyunov G.P., Zhelyakov E.G., Belenkov Y.N.

Abstract

Cardiovascular mortality in Russia is one of the highest in the world and is 1462 deaths per 100,000 per year. The main mechanisms dramatic outcomes of cardiovascular disease are death due to heart failure and sudden cardiac death (SCD). According to the calculated data 200,000-250,000 patients died suddenly in Russia per year.The problem of the SCD is one of the urgent problems of healthcare because prevalence of it is growing up and there is obvious possibility of effective preventive measures.In the present article presents definitions associated with SCD, mechanisms, primary and secondary risk factors for SCD.
Journal of Clinical Practice. 2014;5(4):3-12
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EPIDEMIOLOGIYa VNEZAPNOY SERDEChNOY SMERTI: ChTO MY ZNAEM SEGODNYa?
Boytsov S.A., Linchak R.M., Nedbaykin A.M., Sementsova E.V., Yusova I.A., Strukova I.V.

Abstract

The prevalence of sudden cardiac death in the United States and European countries is very high, reaching 1‰ in population. Its share in the total mortality rate is around 13%, in the structure of cardiovascular mortality - about 40%. The lack of official statistics and large multicenter studies in our country do not allow us to estimate the true extent of the problem, but based on the calculated data, we can suppose that annually 200-250 thousand people died suddenly in Russian Federation. This question becomes especially important in working age population - the most significant economic and social part of society. In this population the proportion of sudden cardiac mortality can exceed 50%, and the features of nosological structure require different approaches for prevention, both at individual and population level.
Journal of Clinical Practice. 2014;5(4):13-19
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SYNCOPE AS SUDDEN CARDIAC DEATH RISK FACTOR
Tyurina T.V.

Abstract

The article analyses the link of syncope and sudden cardiac death risk with primary diagnosis. The data of dependency between syncope and risk of sudden cardiac death and mechanism of syncopal episodes is presented. The criteria of syncope with high sudden cardiac death risk are given. The article also provides an algorithm of syncopal episode diagnosis according to the ESC Guidelines (2009).
Journal of Clinical Practice. 2014;5(4):19-26
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INTERVENTIONAL TREATMENT OF CORONARY HEART DISEASEIN PREVENTION OF SUDDEN CARDIAC DEATH
Staferov A.V., Sorokin A.V.

Abstract

Sudden cardiac death - a non-violent death, which developed instantly or within one hour from the time of acute changes in the clinical status of patient, which is based on cardiac causes. The main cause of SCD is coronary heart disease, which accounts for 80% of all cases. More than half of that cases are associated with acute disorders of the coronary circulation. Sudden cardiac death is a leading cause of mortality in patients with coronary artery disease. All activities that improve the prognosis in patients with coronary artery disease, reduce the risk of sudden cardiac death. Methods of direct myocardial revascularization allowed to improve radically the quality of life and prognosis in patients with coronary artery disease. Interventional treatment is highly effective and widely used method of direct myocardial revascularization, plays a crucial role in improving life expectancy of patients with ischemic heart disease, including through the prevention of sudden cardiac death.
Journal of Clinical Practice. 2014;5(4):27-34
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REVASCULARISATION IN SUDDEN CARDIAC DEATH RISK REDUCTION
Yashin S.M., Gromyko G.A.

Abstract

This issue is about risk stratification and ability of risk reduction in patients undergoing revascularization procedures. Appropriate use of implantable cardioverter-defibrillator in this patients is also discussed.
Journal of Clinical Practice. 2014;5(4):35-40
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SUDDEN CARDIAC DEATH IN PATIENTS WITH DILATED CARDIOMYOPATHY
Duplyakov D.V., Kondratyeva I.V., Garkina S.V.

Abstract

The review discusses accumulated to date scientific data on dilated cardiomyopathy: causative factors, clinical manifestations, sudden cardiac death in patients with the disease and its risk-stratification in the light of National guidelines on the definition of risk and prevention of sudden cardiac death (2012). A case of a patient with dilated cardiomyopathy and high-risk of sudden cardiac death is presented.
Journal of Clinical Practice. 2014;5(4):41-48
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SUDDEN CARDIAC DEATH PREVENTION FOR PATIENTS WITH ARRHYTHMOGENIC DYSPLASIA/CARDIOMYOPATHY OF RIGHT VENTRICLE
Yashin S.M.

Abstract

The recent data of sudden cardiac death prevention for patients with arrhythmogenic dysplasia/cardiomyopathy of right ventricle are presented. Appropriate algorithm of threatment in different groups is also discussed.
Journal of Clinical Practice. 2014;5(4):48-52
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SUDDEN CARDIAC DEATH AND METABOLIC SYNDROME
Yavelov I.S.

Abstract

In the review epidemiologic data regarding sudden cardiac death in patients with metabolic syndrome are presented. Suspected pathophysiologic mechanisms and approaches to primary prevention of this event are considered.
Journal of Clinical Practice. 2014;5(4):53-59
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SUDDEN CARDIAC DEATH AND WOLFF-PARKINSON-WHITE ELECTROCARDIOGRAPHIC PATTERN: A REVIEW
Mamchur S.E., Ardashev A.V.

Abstract

The causes of sudden cardiac death in patients with Wolff-Parkinson-White syndrome are considered; necessity of endocardial electrophysiological study and radiofrequency catheter ablation is discussed, including asymptomatic patients with accessory pathways.
Journal of Clinical Practice. 2014;5(4):60-72
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VENTRICULAR ARRHYTHMIAS IN PATIENTS WITHOUT STRUCTURAL HEART DISEASE
Yakovleva M.V.

Abstract

Risk stratification of ventricular tachyarrhythmia in patients without structural heart disease is still one of the most important question that requires the answer. We now demonstrate our attempt of risk stratification for this group of patients, taking into account their anamnestic and history data and instrumental research results.
Journal of Clinical Practice. 2014;5(4):73-85
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APPLICATION OF STANDARDS OF RENDERING MEDICAL CARE IN VERSATILE HOSPITAL
Nikonova E.V., Afonina N.S.

Abstract

The article highlights the practical application of medical care standards in Healthcare system in Russian Federation and determines it as an actual one. Nowadays Healthcare system in Russian Federation is not fully ready to execute in practice due to the following reasons: absence of direct criteria in medical help standards, lack of economic, financial and legislative background in clinical practice.
Journal of Clinical Practice. 2014;5(4):86-88
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