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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
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K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
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0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
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OUT-OF-HOSPITAL PAEDIATRIC CARDIORESPIRATORY ARREST – 13-YEAR EXPERIENCE
Session:
Painel 9 - Doença Valvular 9
Speaker:
Rita Ataíde Silva
Congress:
CPC 2020
Topic:
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Theme:
20. Congenital Heart Disease and Pediatric Cardiology
Subtheme:
20.2 Congenital Heart Disease – Epidemiology, Prognosis, Outcome
Session Type:
Posters
FP Number:
---
Authors:
Rita Ataíde Silva; Miguel Fogaça Da Mata; Noémia Rosado da Silva; Cristina Camilo; Ana Gaspar; Oana Moldovan; Mónica Rebelo
Abstract
<p><strong>INTRODUCTION: </strong>Sudden cardiac arrest is defined as unexplained collapse without previous symptoms and corresponds to 25-30% of cases of sudden death in paediatrics. The success of cardiopulmonary resuscitation depends on cardiorespiratory recovery and survival without neurological sequelae. The prompt and efficient start of basic life support improves survival. </p> <p> </p> <p><strong>METHODS:</strong> The authors characterize the extra-hospital cardiorespiratory arrest of cardiac aetiology of patients admitted to a Paediatric Intensive Care Unit, from January 2007 to December 2019 through retrospective analysis of clinical processes.</p> <p> </p> <p><strong>RESULTS: </strong>Among 5357 admissions, there were 35 admissions caused by cardiorespiratory arrest: 19 respiratory aetiology (7 asphyxia, 8 drowning, 4 respiratory insufficiency), 3 neurologic causes, 1 death with unknown aetiology and 12 primary cardiac aetiology. Twelve children had cardiac aetiology for cardiorespiratory arrest, mean age of 11,4 years. The onset of basic life support ranged from 1 to 40 minutes. Nine patients required defibrillation. Two patients had relevant family history. Five cases had an aetiological diagnosis (three congenital heart diseases and one metabolic disease) and four had previous unrelated symptomatology. In seven cases, the cardiac arrest occurred during physical activity. The echocardiogram revealed the underlying diagnosis in five children and the electrocardiogram was diagnostic in one case. Genetic investigation was positive in four cases and three families were screened for the identified mutation. In two children, metabolic investigation was performed, although inconclusive. There were seven deaths. Concerning the five survivors, four had early basic life support. </p> <p> </p> <p><strong>CONCLUSION:</strong> Out-of-hospital cardiorespiratory arrest usually has a negative outcome. Early basic life support reduces morbidity and mortality. To prevent sudden death, it is essential to investigate treatable etiologies. A systematized approach is fundamental to improve patient care.</p>
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