2024-03-28T13:09:35Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00017421
2022-12-15T03:48:44Z
453:456
471:537:538:545
Abnormality of Cardiac Rhythm in Sudden Death at the Emergency Scene
救急現場における突然死例の心調律異常の検討
救急現場における突然死例の心調律異常の検討
佐藤, 匡
109958
相澤, 義房
109959
sudden death
vital signs
bradyarrhythmia
ventricular fibrillation
突然死
バイタルサイン
徐脈性不整脈
心室細動
We investigated the cardiac rhythm disturbance of sudden death(SD)by pre-hospital electrocardiograms recorded from 57 cases of SD by the attending emergency team in Niigata City from 1990 through 1994. Of these cases, 48(84.2%)lost their vital signs before they arrived at hospitals. The 48 cases were divided into three groups, namely, group 1;there was a witness and the arrival time of the emergency team was 10 minutes or shorter from the onset(10 cases), group 2;there was a witness and the arrival time was more than 10 minutes or uncertain(19 cases) and group 3;there was no witness(19 cases). The percentage of the cases with severe bradyarrhythmia became significantly lower in the above order of the three groups(50%, 26.3%, and 10.5%, respectively, p<0.005)in contrast to the cases with cardiac standstill(10.0%, 15.8%), and 68.4, respectively, p<0.01). The vital signs were confirmed lost before or at the arrival of the emergency team in more than 80% of the cases with ventricular fibrillation. However, they were confirmed lost in less than 40% of the cases with severe bradyarrhythmia, suggesting that the bradyarhythmia was not always the final dysrhythmia seen just prior to death, but severe bradyarrhythmias would be one of the main rhythm disturbances causing SD.
departmental bulletin paper
新潟医学会
1997-05
application/pdf
新潟医学会雑誌
5
111
328
335
新潟医学会雑誌
AN00182415
00290440
https://niigata-u.repo.nii.ac.jp/record/17421/files/111(5)_328-335.pdf
jpn