Abstract
Cardiac arrest (CA) as a result of poorly tolerated ventricular tachycardia (VT) or ventricular fibrillation (VF) is the most common cause of death in many developed countries including the United States. Even with a steady decline in morbidity and mortality from cardiovascular diseases over 30 years (1), approx 60% of the 489,171 deaths attributable to coronary artery disease (CAD) in 1990 were out-of-hospital CA. In 1998, 63% of cardiac deaths were sudden and likely arrhythmic (2). Many of these deaths could have been prevented if the responsible ventricular arrhythmia had been treated with proper resuscitative efforts. Of 350,000 men who died in 1998, 41% had out-of-hospital sudden death, and 22% had a cardiac death in the emergency department (ED) or were dead on arrival. Of 369,000 women who died that year, 52% had out-of-hospital sudden death, and 12% had a cardiac death in the ED or were dead on arrival (2).
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Olshansky, B., Nerheim, P., Kerber, R.E. (2005). Anti-Arrhythmic Drugs and Cardiac Resuscitation. In: Ornato, J.P., Peberdy, M.A. (eds) Cardiopulmonary Resuscitation. Contemporary Cardiology. Humana Press. https://doi.org/10.1385/1-59259-814-5:351
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