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Sudden Death pp 193–207Cite as

Defibrillation in Sudden Cardiac Death

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Abstract

Ventricular fibrillation is one of the important causes of sudden cardiac death. Defibrillation is the most effective treatment for ventricular fibrillation. At present, there is no large-scale research report on the incidence of ventricular fibrillation in sudden cardiac death in China. Published studies have shown that the incidence of ventricular fibrillation in Chinese sudden cardiac death is not as high as in other countries. Patients with ventricular fibrillation often appear as unresponsive, with no normal breathing and no signs of circulation. For ventricular fibrillation, the initiating mechanisms include premature ventricular complexes or non-sustained VT. Defibrillation can improve prognosis of VT/VF, early defibrillation is vital, and rescuers should start pressing immediately after defibrillation. For nonmedical individuals, AED is safe, easy, and effective. Victims of OHCA should be initially treated with basic life support measures, including the immediate delivery of shocks by an AED. To improve the popularization of the knowledge of the first responders and promote the establishment of the awareness of the first aid, some expert consensus on cardiopulmonary resuscitation training in China were published. These consensuses combine with Chinese actual national conditions to provide guidance for the first responders and training, aiming to promote the development of first aid in China. In addition, China has also launched the “National Cardiopulmonary Resuscitation Popularization into 100 Million Precision Health Projects” – 525+ (I Love My Family) Project, aiming to popularize CPR to 200 million people in 5 years. By practicing “Healthy China 2030,” Shenzhen launched “Public Defibrillation Project” in 2017, aiming to implement in public places with a high density and movement of citizens where trained CPR providers can get fast access to defibrillation. The most common medicine used in VF is amiodarone, and lidocaine has been suggested as first-line drug too. It requires more evidence to regulate the use of antiarrhythmic drugs in the process of adult defibrillation-refractory VF/pVT cardiac arrest patients or after ROSC. Defibrillation requirements for cardiac arrest during pregnancy are consistent with adult cardiopulmonary resuscitation guidelines. During cardiopulmonary resuscitation, attention should be paid to maternal recovery. It is not helpful to assess the condition of the fetus during this period. During pre-CA period, individual, family, community, healthcare system, and society should be regarded as a whole, and the composition of each element will become the key to determine the survival of CA. For high-risk groups with sudden cardiac death, effective measures should be taken to prevent ventricular fibrillation or to initiate CPR procedures as soon as possible.

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  1. Emergency Department, Renmin Hospital of Wuhan University, Wuhan, Hubei, China

    Miao Wu, Jie Wei & Xiaowei Yan

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    Haiyan Zhu

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Wu, M., Wei, J., Yan, X. (2021). Defibrillation in Sudden Cardiac Death. In: Zhu, H. (eds) Sudden Death. Springer, Singapore. https://doi.org/10.1007/978-981-15-7002-5_13

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