2020 APHRS/HRS expert consensus statement on the investigation of decedents with sudden unexplained death and patients with sudden cardiac arrest, and of their families.
2020 APHRS/HRS expert consensus statement on the investigation of decedents with sudden unexplained death and patients with sudden cardiac arrest, and of their families.
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DOI：
10.1016/j.hrthm.2020.10.010
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发表时间：
2021-01
期刊：
影响因子：
5.5
通讯作者：
Wang DW
中科院分区：
文献类型：
--
作者：
Stiles MK;Wilde AAM;Abrams DJ;Ackerman MJ;Albert CM;Behr ER;Chugh SS;Cornel MC;Gardner K;Ingles J;James CA;Jimmy Juang JM;Kääb S;Kaufman ES;Krahn AD;Lubitz SA;MacLeod H;Morillo CA;Nademanee K;Probst V;Saarel EV;Sacilotto L;Semsarian C;Sheppard MN;Shimizu W;Skinner JR;Tfelt-Hansen J;Wang DW
本国际多学科文献旨在为临床医生提供基于证据的实用的以患者为中心的建议，以评估（流产）心脏骤停患者和死者及其家属。该文件包括一个家庭调查框架，允许在发现遗传疾病时采取步骤，以尽量减少受影响亲属的进一步事件。这一过程中不可或缺的是对病人和家属的咨询，不仅因为这是一个情绪化的主题，而且因为找到（或没有找到）逮捕的原因可能会影响对家庭成员的管理。组建多学科团队对于为患者及其家属提供完整的服务至关重要，编写委员会的各种专业知识是为了反映这一需求而制定的。文件各部分由写作委员会成员根据各自的专长进行划分和起草。这些建议代表了整个写作委员会的共识意见，并按推荐等级和证据水平进行评分。这些建议公开征求公众意见，并由亚太心律学会（APHRS）和心律学会（HRS）的相关科学和临床文件委员会进行审查；该文件经过了伙伴和协作协会的外部审查和核可。虽然这些建议是针对最佳护理的，但人们认识到并非所有临床医生都能获得所有资源。尽管如此，本文件阐明了临床医生应该渴望为心脏骤停患者、不明原因猝死的死者及其家属提供的评估。
This international multidisciplinary document intends to provide clinicians with evidence-based practical patient-centered recommendations for evaluating patients and decedents with (aborted) sudden cardiac arrest and their families. The document includes a framework for the investigation of the family allowing steps to be taken, should an inherited condition be found, to minimize further events in affected relatives. Integral to the process is counseling of the patients and families, not only because of the emotionally charged subject, but because finding (or not finding) the cause of the arrest may influence management of family members. The formation of multidisciplinary teams is essential to provide a complete service to the patients and their families, and the varied expertise of the writing committee was formulated to reflect this need. The document sections were divided up and drafted by the writing committee members according to their expertise. The recommendations represent the consensus opinion of the entire writing committee, graded by Class of Recommendation and Level of Evidence. The recommendations were opened for public comment and reviewed by the relevant scientific and clinical document committees of the Asia Pacific Heart Rhythm Society (APHRS) and the Heart Rhythm Society (HRS); the document underwent external review and endorsement by the partner and collaborating societies. While the recommendations are for optimal care, it is recognized that not all resources will be available to all clinicians. Nevertheless, this document articulates the evaluation that the clinician should aspire to provide for patients with sudden cardiac arrest, decedents with sudden unexplained death, and their families.
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作者：
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