CURRENT ASPECTS OF THE CONCEPT, ETIOLOGY, PATHOGENESIS AND PREVENTION OF SUDDEN CARDIAC DEATH

Abstract

Aim - to highlight current aspects of the concept, etiology, pathogenesis and prevention of sudden cardiac death. Discussion. Sudden cardiac death in a wide sense is known as non-violent death due to cardiac pathology, with the rapid development of circulatory arrest, which is preceded by loss of consciousness. Sudden cardiac death is often the first and only manifestation of coronary heart disease, and it occupies a vast niche in mortality from cardiovascular pathology. Despite the high prevalence, there are many controversial and unresolved issues regarding the pathogenesis of the sudden cardiac death. There are some difficulties with the precise definition of this diagnosis. Conclusion. The review considers the concept of sudden cardiac death, presents several theories of pathogenesis, risk factors, which are thoroughly analyzed and synthesized. Methods of primary and secondary prophylaxis are analyzed, and comparative characteristics of medicinal substances used for prevention of sudden cardiac death are given.

Keywords

• sudden cardiac death
• coronary heart disease
• arrhythmia
• ventricular fibrillation