4.4 Review

Mind the gap: Knowledge deficits in evaluating young sudden cardiac death

Journal

HEART RHYTHM
Volume 17, Issue 12, Pages 2208-2214

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.hrthm.2020.07.029

Keywords

Ambulance; Evidence-based medicine; Forensic; Sudden cardiac death; Systems analysis

Funding

  1. National Health & Medical Research Council (NHMRC), Australia [1168218, 1154992]
  2. National Heart Foundation of Australia [102347]
  3. Royal Australasian College of Physicians (JJ Billings Scholarship)
  4. PSA Insurance
  5. Ross Dennerstein Foundation
  6. National Health and Medical Research Council of Australia [1168218] Funding Source: NHMRC

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Sudden cardiac arrest affects around half a million people aged under 50 years old annually, with a 90% mortality rate. Despite high patient numbers and clear clinical need to improve outcomes, many gaps exist in the evidence underpinning patients' management. Domains identifying the greatest barriers to conducting trials are the prehospital and forensic settings, which also provide care to the majority of patients. Addressing gaps in evidence along each point of the cardiac arrest trajectory is a key clinical priority.

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