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Sudden cardiac death
Recently sudden cardiac death (SCD) from cardiac arrest become a major international public health problem accounting for an estimated 15%–20% of all deaths.
Sudden cardiac death (SCD)
is death due to a cardiovascular cause that occurs within one hour of the onset of symptoms. A sudden cardiac arrest occurs when the heart stops beating or is not beating sufficiently to maintain perfusion and life.
Etiology
Coronary artery disease is the most common cause of sudden cardiac death, accounting for up to 80% of all cases. The most common causes of non-ischemic sudden cardiac death are cardiomyopathy related to obesity, alcoholism, and fibrosis.
causes of sudden cardiac
The causes of sudden cardiac death is varied according to age group, in young less than 35 years is a fatal arrhythmia, up to 13rs the primary cause is a congenital abnormality. Between 14 to 24 years, hypertrophic cardiomyopathy (HCM), arrhythmogenic right ventricular cardiomyopathy.
Sudden death and kidney disease
Sudden death and kidney disease
Annual cardiovascular mortality in patients with chronic kidney disease (CKD) is much higher than in the general population. The rate of sudden cardiac death increases as the stage of CKD increases and could be responsible for 60% of cardiac deaths in patients undergoing dialysis. In hemodialysis units treating patients with CKD, cardiac arrest occurs at a rate of seven arrests per 100,000 hemodialysis sessions.
To reduce the risk of sudden death
it is necessary to educate the public and patients about sudden cardiac death
Life expectancy
Many people with ESRD who receive dialysis regularly or have a kidney transplant can often live long, healthy, active lives.
The life expectancy for a person receiving dialysis is around 5–10 years, though many live for 20–30 years. People who receive a donor kidney from a living donor tend to go 15–20 years before needing a new kidney. Donor kidneys from deceased donors tend to last 10–15 years before needing to be replaced.
Actually life expectancy depends largely on how well they follow their treatment plan and any additional health conditions they have.
Having ERSD is also associated with frequent hospitalizations, higher healthcare costs, and metabolic changes.
SCD is relatively common in non-dialysis advanced CKD patients. SCD was closely related to age and comorbidity
Cardiovascular disease represents the major cause of death in chronic kidney disease patients accounting for about 43% of all mortality causes among hemodialysis patients.
Sudden cardiac death (SCD) is one of the most frequent and dangerous clinical syndrome occurring in end stage renal disease (ESRD) patients.
Hemodialysis patients present a great number of non traditional risk factors for cardiovascular disease such as left ventricular hypertrophy, coronary artery disease, rapid electrolyte shifts, QT dispersion, sympathetic hyperactivity and hyperphosphatemia