摘要
儘管近代醫療進步，心臟猝死仍是一個很重要的健康問題，而且心臟猝死在年輕的族群，如：運動員族群、先天性心臟病修補過患者族群及嬰兒猝死症候群，都有增加的情形。依據進一步的電生理及基因研究結果顯示，抗心律不整藥物及植入式心臟去顫器可以改善心臟停止後急救成功患者的預後。心臟猝死的原因可分為心律不整性的及循環性的。心律不整性的心臟猝死係指，無其他造成死亡原因的突發性意識及脈搏喪失，循環性的心臟猝死則因為循環崩潰所造成心律不整。患有先天性心臟病、心肌病變或曾被診斷原發性心律不整疾病（如長QT症候群及沃夫-帕金森-懷特症候群）的兒科病患有增加的罹患心臟猝死風險。
並列摘要
Despite recent advances in medical therapy, sudden cardiac death (SCD) remains a significant health problem. SCD is increasingly recognized in diverse groups of young patients, such as athletes, invividials who have undergone prior repair of congenital heart defects and victims of sudden infant death syndrome. According advances in electrophysiology and genetic testing, antiarrhythmic drugs, and implantable cardioverter defibrillators (ICDs) have stimulated efforts to define individuals who are at risk of SCD prior to a first event as well as to improve the prognosis of survivors of cardiac arrest.There are two mechanisms of sudden death, included arrhythmic and circulatory. Arrhythmic SCD is defined by the abrupt loss of consciousness and pulse in the absence of other medical conditions likely to cause death. Circulatory SCD is defined by the collapse of circulation before the disappearance of an organized cardiac rhythm. Pediatric patients with congenital heart disease, cardiomyopathies, or primary arrhythmic diagnoses such as long QT syndromes and Wolff-Parkinson-White syndrome are increased at risk of SCD.
延伸閱讀
- 侯家瑋、李慶雲（1984）。嬰兒猝死症候羣。當代醫學，(133)，883-885。https://doi.org/10.29941/MT.198411.0009
- 黃碧桃（1994）。小兒心臟急症。Acta Paediatrica Sinica，35(s_2)，21-24。https://doi.org/10.7097/APS.199411.0021
- 郭哲舟（1964）。小兒的急性及突然死亡。Acta Paediatrica Sinica，5(1)，24-28。https://www.airitilibrary.com/Article/Detail?DocID=00016578-196403-5-1-24-28-a
- 陳建志、湯耀貿、陳登郎（2010）。Sudden Deafness in a Child。童綜合醫學雜誌，4(2)，89-92。https://doi.org/10.29838/TMJ.201012.0007
- 洪焜隆（2008）。Determination of Brain Death in Children。Acta Paediatrica Taiwanica，49(S)，1-10。https://doi.org/10.7097/APT.200811.0001