At least 450,000 cases of unexpected cardiac arrest occur annuallyin the United States (Figure 1). The majority occur in placesother than hospitals in people with recognized heart disease.However, the accurate identification of potential victims isnot possible, and sudden death is often the initial manifestationof cardiac disease. Most such events occur at home, but up toa quarter occur in public places and are often witnessed bytrained personnel who attempt resuscitation. Prompt defibrillationis the most important determinant of survival. Years ago, observationsfrom a Seattle cardiac-rehabilitation program showed that thesurvival rate . . . [Full Text of this Article]
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