Ravilya_Pediatrics_ Cardiology _Sudden Death

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A 17-year-old athlete took diuretic tablets and expired suddenly. (Important) Sudden death is first sign of..

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Prevention of sudden death

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A 17-year-old athlete took diuretic tablets and expired suddenly. (Important)

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A 17-year-old athlete took diuretic tablets and expired suddenly. (Important) Sudden death is first sign of: heart diseases.
(Dilated or hypertrophic cardiomyopathies, long QT interval/syndrome, coronary artery disease, WPW syndrome, right ventricular dysplasia, rupture of aortic aneurysm in Marfan syndrome, aortic stenosis.) CXR, EKG or echocardiogram is not routinely done for all athletes, but it should be if history and physical examination suggest.

Same rules apply to all children. Death is preceded by exertion or exercise.

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An young athlete came with Hlo syncopal attack while playing football. He is otherwise healthy:

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An young athlete came with Hlo syncopal attack while playing football. He is otherwise healthy: long QT interval/syndrome (LQTS).

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A malignant form of ventricular
arrythmia called torsades de pointes

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A malignant form of ventricular
arrythmia called torsades de pointes occurs in patients with LQTS and is a cause of syncope or sudden death. A patient with severe aortic stenosis is usually symptomatic

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Prevention of sudden death:

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Prevention of sudden death:


Common causes can be identified from a patient's history (prodromal symptoms), family history, and physical examination.

Avoid cocaine use
Avoid anorexia nervosa
Drug side-effects: TCA (tricyclic antidepressants) can cause sudden death.
Drug interactions: seldane-erythromycin can cause sudden death