Ventricular Arrythmia & the

Prevention of Sudden Cardiac

Death
M. Tasrif Mansur
• Ventricular Arrythmia (VA) : PVC  VF
• PVC
• VT Monomorphic
• VT Polimorphic
• VF
• Torsades de Point
• Brugada pattern/ syndrome
• WPW
• Sudden cardiac arrest
• Sudden cardiac death
Introduction
• Sudden cardiac arrest (SCA) : VT/VF + hemodinamik ↓  selamat
• Sudden cardiac death (SCD) : VT/VT  meninggal
• Type of Arrhythmia lead to SCD :
• Bradyarhythmia & asystole : 10%
• Bradiaritmia  emboli paru. Pada beberapa kasus, bradiaritmia juga dapat menyebabkan
VT melalui mekanisme escape
• PEA, asistol, electromechanical dissociation : myocardial rupture, tamponade,
pneumothorax, hypoxemia, atau overdosis
• VT
• VF
• Pada pasien dgn ICD 25 % kematian terjadi akibat PEA
Etiologi SCA
• 65-70% : Coronary heart disease
• 10% : structural heart disease (congenital coronary artery anomalies,
myocarditis, HCM, ARVCM
• 5-10% : arrythmic (non structural heart disease/ primary electrical
disease)  Long QT syndrome, Brugada syndrome, WPW syndrome,
cathecolaminergic VT
• 15-25% : non cardiac origin  trauma, bleeding, drug intoxication,
intracranial hemorrhage, pulmonary embolism, near drowning,
central airway obstruction