Cardiac Arrest: A Critical Emergency

Introduction

Cardiac arrest is a sudden and severe medical emergency where the heart stops pumping blood. Unlike a heart attack, which is caused by a blockage in the coronary arteries, cardiac arrest occurs due to an electrical malfunction in the heart. This leads to an immediate loss of consciousness and can be fatal if not treated promptly.

Causes of Cardiac Arrest

Cardiac arrest can be triggered by several conditions, including:

  • Coronary artery disease – The most common cause due to narrowed or blocked arteries.
  • Arrhythmias – Irregular heartbeats that disrupt the heart's normal rhythm.
  • Heart attack (Myocardial infarction) – A severe heart attack increases the risk.
  • Cardiomyopathy – Weakening of the heart muscle.
  • Congenital heart disease – Present from birth and may affect electrical function.
  • Severe electrolyte imbalances – Potassium and magnesium imbalances can lead to dangerous arrhythmias.
  • Drug overdose or poisoning – Certain medications and substances can stop the heart.

Symptoms of Cardiac Arrest

  • Sudden collapse
  • No pulse
  • No breathing
  • Loss of consciousness
  • Occasionally, gasping or seizure-like twitching

Immediate Actions: What to Do in Cardiac Arrest?

  1. Call emergency services (911 or local emergency number)
  2. Start CPR (Cardiopulmonary Resuscitation) :
    • Push hard and fast in the center of the chest at a rate of 100-120 compressions per minute.
    • If trained, give rescue breaths after every 30 compressions.
  3. Use an Automated External Defibrillator (AED), if available :
    • Follow the voice instructions of the device to deliver an electric shock and restore heart rhythm.
  4. Continue CPR and use the AED until medical professionals arrive.

Prevention of Cardiac Arrest

  • Manage risk factors : Control hypertension, diabetes, and high cholesterol.
  • Healthy lifestyle : Follow a balanced diet, maintain a healthy weight, and exercise regularly.
  • Avoid smoking and excessive alcohol intake .
  • Regular heart check-ups : Especially for those with a family history of heart disease.
  • Know CPR and AED use : Being prepared can save lives.

Summary

Cardiac arrest is a life-threatening condition that requires immediate intervention. Early recognition, CPR, and defibrillation are crucial in increasing survival rates. Learning CPR and knowing how to use an AED can be life-saving skills in an emergency.

Source recommendations

1. American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

  1. https://professional.heart.org/en/science-news/2020-aha-guidelines-for-cpr-and-ecc
  2. https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines
  3. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001194
  4. https://pubmed.ncbi.nlm.nih.gov/33081530/
  5. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000918

2. European Resuscitation Council Guidelines for Resuscitation

  1. https://cprguidelines.eu/guidelines-2021
  2. https://www.erc.edu/
  3. https://cprguidelines.eu/
  4. https://www.sciencedirect.com/science/article/pii/S0300957221000551
  5. https://pubmed.ncbi.nlm.nih.gov/33773825/

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