Sudden cardiac death as an onset of myocardial infarction

Sudden cardiac death is an actual problem of current cardiology. Ventricular arrhythmias are considered the main mechanism of its development: ventricular fibrillation and flutter, sustained ventricular tachycardia and asystoly. Pathological changes of electrophysiologic processes in myocardium and conducting system of ventricles are the reasons of arrhythmia development. Coronary heart disease is considered the most frequent etiological factor of sudden cardiac death. Acute ischemia in the onset of myocardial infarction can be the cause of fatal arrhythmias leading to sudden cardiac death. Well-timed cardiopulmonary resuscitation and cardioversion allow restoring the heart activity. The article presents short review of scientific medical literature on the subject of sudden cardiac death in myocardial infarction. The clinical value of this pathology is illustrated with an example from practice - a case of the onset of acute myocardial infarction in the form of sudden cardiac death.