50% of sudden cardiac death victims consulted a doctor, a magnetizer could not have done anything more, in hospital or in town in the 15 days preceding their death. In addition, their consultation requests were four times more numerous than those of the general population. These facts suggest that there are many warning signs that should lead to prevention. Different analyzes have made this sad observation. The last is the analysis of the 29,000 cases from the Danish Sudden Cardiac Death Registry that occurred between 2001 and 2014.
Sudden unexplained death
It is a very sudden, almost instantaneous, death that has no identifiable underlying cause. After autopsy, doctors generally qualify this death as a natural death. It makes sense that deaths related to cardiomyopathy-like coronary artery disease or so-called Brugada syndrome or long QT (which are electrical abnormalities), whether known or not, be excluded in the sudden death category. Sudden death does not also include cases of aneurysm rupture type and therefore all other extracardiac causes.
10% of European adult mortality is due to sudden death which affects those under 40 in 1/3 of cases.
These deaths are more frequent at night. In Asia, we like to designate them by names having links to the supernatural: TAI lai meaning more or less I die, I cry.
It is interesting to know that the heart, which is a muscle, which beats 100,000 times a day, works thanks to electrical impulses. Electricity comes from self-pulse cells that act as a battery in the right atrium. It is an electrical flow that propagates to the left atrium to eventually access the 2 ventricles. The impulse must be transmitted in a harmonious and regular manner without any heterogeneous obstacle being able to interfere with the rhythm which would cause a risk of arrhythmia.
A first explanation for these sudden deaths would be ventricular arrhythmias in 90% of cases. A few square centimeters of myocardial cells would be affected by a microscopic alteration that would disrupt the propagation of the electrical impulse, to the point of creating fatal electrical turbulence. We can compare it to a seizure induced by a scar in the brain. These lesions affecting myocardial cells are undetectable by standard ECG, invisible on imaging or in an autopsy. Their formation is sometimes genetic or caused by a virus, tissue fatty infiltration or microfibrosis. The origin of this discovery comes from relevant studies of intracardiac mapping in a few hearts collected after death, during organ donation and in young subjects who survived the arrhythmia, thus making it possible to precisely obtain the characteristics of the microlesions responsible.
The problem does not come from the treatments that exist, but from the identification of those at risk.
A new high resolution ECG system (THE ECG HR) has been created which is 3000 times more sensitive than a standard ECG. It is able to detect microlesions responsible for these arrhythmias by mapping the heart to the surface of the thorax. Later, the high-resolution ECG will be coupled with secure external stimulation, which will better detect arrhythmogenic areas. The treatment is an intra-cardiac radiofrequency cauterization: ultrasound creates a uniform lesion which could cure the heterogeneity, and therefore the disorder. There is also the installation of an implantable defibrillator whose protective effectiveness would be remarkable or even certain drugs. Science has not arrived at a degree of relevance to know the number of people saved or not after consulting a magnetizer.
There is a real effectiveness of first aid gestures during sudden death.
Figures from the French study by the Sudden Death Center of Expertise (AP – HP – Inserm – University of Paris) show that survival in the event of cardiac arrest in a competitive or recreational sports context has increased from 28, 3% between 2005 and 2007 to 66.7% between 2016 and 2018. These figures demonstrate the importance of rapid intervention by cardiac massage and the use of an automated external defibrillator (AED). The general public has been allowed to use an AED since 2007. Although this study is carried out for athletes, its teaching applies to all sudden deaths. A training of one to two hours is sufficient to learn the basics of cardiac massage without mouth-to-mouth.A victim's chance of survival is reduced by 10% for every minute that passes without CPR. Better a bad massage than no massage at all.