TY - CHAP M1 - Book, Section TI - Sudden Cardiac Death and Resuscitation A1 - Narayan, Sanjiv M. A1 - Daubert, James P. A2 - Fuster, Valentin A2 - Narula, Jagat A2 - Vaishnava, Prashant A2 - Leon, Martin B. A2 - Callans, David J. A2 - Rumsfeld, John S. A2 - Poppas, Athena PY - 2022 T2 - Fuster and Hurst's The Heart, 15e AB - Chapter SummaryThis chapter provides a structural and practical discussion of sudden cardiac death (SCD), acute resuscitation, and postresuscitation care. The various etiologies of SCD include arrhythmias, coronary disease, genetic electrical syndromes, and structural causes. SCD can strike individuals in the broad population, as well as special populations at risk, including women, underrepresented minorities, and athletes. Paradoxically, a substantial minority of cases classified as SCD are noncardiac and span neurological, respiratory, and other causes. Currently, risk stratification for SCD is suboptimal and future avenues for improved mechanism-based prediction are highlighted. Notably, in-hospital SCD is associated with better prognosis than out-of-hospital SCD. Effective early response is critical and shares similarities for both types of arrest. The chapter details basic and cardiopulmonary resuscitation, including current emergency pharmacological management and coronary catheterization. Postresuscitation care focuses on preserving the brain—including via therapeutic temperature management (induced hypothermia)—neurological recovery, as well as cardiopulmonary management. The ethics of end-of-life management and withdrawal of resuscitation are also emphasized. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1202456930 ER -