トクシマケン ニオケル ジドウ セイト ノ トツゼンシ ノ ゲンジョウ ト モンダイテン
Epidemiologic problems of sudden death of school children in Tokushima Prefecture
Matsuoka, Suguru Heart Care Committee, Tokushima Medical Association
Four sudden death boys aged 10, 15, 16 and 17-years old were reported by a domestic newspaper in 2004 and 2005. They died at school while doing exercise. School doctor could not re-evaluate the medical records including ECG performed in school, because the principal reject their request. As the result, the cause of sudden death was not known. There were another two boys aged 13 and 17-years old, who was reported as near-miss case from hospital in 2004 and 2005. They were rescued by AED （automated external defibrillator） in a school or an ambulance car. ECG （electrical cariogram） and echocardiogram showed congestive cardio-myopathy in a 13-years old boy, and normal in a 17 years old boy.
Cardiac health in school was checked at 6, 12 and 15 years old by medical questionale, physical check and ECG. However, any abnormalities in these 6 cases could not detected before events happened. In order to prevent these sudden death and near-miss, medical record and ECG should be reevaluated. And AED is useful to survive sudden death cases and near-miss cases in school.
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