JAMA Clinical Reviews Sudden Cardiac Arrest in Healthy Young Adults
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Feb 20, 2025 In this insightful discussion, Zian Tseng, a Professor of Medicine at UCSF and leading authority on cardiac arrest, shares crucial insights about sudden cardiac arrest in young adults. He reveals staggering survival rates, emphasizing that only a small percentage of out-of-hospital cases result in discharge. The conversation dives into the varying causes of these incidents, the vital role of screening for families, and the careful management needed for athletes wishing to return to sports after such events. Mental health support for survivors is also highlighted.
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Neurological Outcomes After Cardiac Arrest
- About 90% of young adult cardiac arrest survivors have good neurological outcomes.
- This is measured by a Cerebral Performance Category scale of 1-2.
Causes of Out-of-Hospital Cardiac Arrest
- Autopsy studies reveal that 40% of out-of-hospital cardiac arrests in young adults have non-cardiac causes.
- These include drug overdoses, neurological conditions, and infections.
Evaluating Cardiac Arrest Survivors
- After resuscitation, perform a broad workup, including ECG, imaging, lab tests, and drug screening.
- Consider echocardiography for structural issues and further tests for electrical conditions if those are ruled out.