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KMID : 1011920100110020013
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International Journal of Arrhythmia
2010 Volume.11 No. 2 p.13 ~ p.16
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Overview of sudden cardiac death in Korea (Out-of-hospital cardiac arrest)
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Oh Dong-Jin
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Abstract
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In Korea, sudden cardiac death (SCD) is a major cause of death. But the incidence of SCD has been underestimated. Recently, the cardiac arrest (CA) cohort estimates the annual incidence of SCD as more than 41 per 100,000 persons (annually 20,000 persons experienced the out-of-hospital CA in 2006/2007), which is similar to other countries such USA, Canada, Ireland, Japan, and China. The EMS (emergency medical services) is not ready for CA victims. The Collapse-to-Call time is about 5 minutes. And the bystander CPR (cardiopulmonary resuscitation) rate was 1.4%. An AED (automatic external defibrillation) was used by less than 10% of 119 EMT’s. The survival discharge rate was 2.4%, and only 0.66% of the survivors were discharged with the acceptable neurological deficits (cerebral performance category [CPC] 1-2). Therefore we should increase bystander CPR and improve the EMS to get more SCD survivors. Also, lifestyle modification
needs to be emphasized to prevent SCD.
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KEYWORD
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sudden cardiac death, out-of-hospital cardiac arres, annual incidence, bystander CPR, EMS, clinical outcome
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