Sudden Death -

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Sommaire:
Section 1. Epidemiology and pathology of sudden death.- 1.1. Sudden death: a worldwide problem.- 1.2. Sudden death due to arteriosclerotic heart disease: a study of women.- 1.3. A pathologist's view of sudden cardiac death.- 1.4. Neural pathology of the heart in sudden death.- Section 2. The electrophysiology of lethal arrhythmias.- 2A) Animal myocardial infarction models.- 2.1. Studies on ventricular arrhythmias in animal models of ischemic heart disease: what can we learn?.- 2.2. Ventricular arrhythmias in the first 15 minutes of acute regional myocardial ischemia in the isolated pig heart: possible role of injury currents.- 2.3. Electrophysiological, biochemical and pharmacological aspects of reentrant ventricular arrhythmias in the late myocardial infarction period.- 2B) The nervous system and cardiac arrhythmias.- 2.4. Neural factors and ventricular electrical instability.- 2.5. Autonomic nervous system and sudden death.- 2C) Electrophysiologic mechanisms involved in ventricular tachycardia-fibrillation.- 2.6. Epicardial activation sequences during the onset of ventricular tachycardia and ventricular fibrillation.- 2.7. Electrophysiological observations on ventricular fibrillation in the human heart.- 2.8. Unusual forms of severe ventricular tachyarrhythmias: their relationships with the QT interval and the vago-sympathetic balance.- Section 3. The indicators of high risk for sudden death.- 3A) Clinical profile of high risk individuals.- 3.1. Prehospital cardiac arrest: early and long-term clinical and electrophysiologic characteristics.- 3.2. CCU findings useful for identification of sudden death candidates in the post-hospital phase of myocardial infarction.- 3.3. Factors associated with cardiac death in the posthospital phase of myocardial infarction.- 3B)Methods for detection of high risk patients.- 3.4. Further evaluation of the repetitive ventricular response in man.- 3.5. Detection of patients at high risk for sudden death: the role of electrocardiographic monitoring.- 3.6. Detection of high risk patients for sudden death: the role of myocardial imaging with radioisotopes.- Section 4. Prevention of sudden death.- 4.1. Critical analysis of intervention studies: methodological problems and pitfalls.- 4.2. Prevention of sudden death: the role of beta-blockers.- 4.3. Prevention of sudden death: the role of antiarrhythmic therapy.- 4.4. The possible role of platelets in sudden cardiac death.- 4.5. The automatic implantable defibrillator: a new avenue.- Section 5. Sudden death in noncoronary heart disease.- 5.1. Sudden death in patients with hypertrophic cardiomyopathy.- 5.2. The long QT syndrome.- 5.3. Sudden death in subjects with intraventricular conduction defects.- 5.4. Sudden death in the Wolff-Parkinson-White syndrome.