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Cardiac arrest

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Cardiac arrest is a serious medical event. It happens when the heart suddenly stops beating.

Basic representation of cardiac conduction
Basic representation of cardiac conduction

This is different from a heart attack. When the heart stops, it cannot pump blood through the body. This means the brain and other organs stop getting blood. Without blood, brain cells can begin to die in just a few minutes. A person might lose consciousness or fall into a coma.

Carotidian pulse and recovery position
Carotidian pulse and recovery position

Most cardiac arrests happen because of an arrhythmia. An arrhythmia is an irregular heart rhythm. The heart uses electrical signals to pump. If the rhythm is wrong, the heart cannot pump blood properly. This is called hemodynamic collapse. Two common types are ventricular tachycardia and ventricular fibrillation. In these states, the heart muscle does not contract in a coordinated way.

Ventricular fibrillation
Ventricular fibrillation

This prevents the heart from sending blood forward to the rest of the body.

Many different things can cause the heart to stop. One common cause is coronary artery disease. This happens when cholesterol builds up in the heart's arteries.

Coronary Artery Disease
Coronary Artery Disease

This buildup can block blood and oxygen from reaching the heart muscle. Another cause is structural heart disease. For example, high blood pressure can cause left ventricular hypertrophy. This is when the heart's main pumping chamber grows too large.

Heart left ventricular hypertrophy sa
Heart left ventricular hypertrophy sa

This change can make the heart less effective at its job.

In the United States, about 535,000 cardiac arrests happen every year. This is about 13 incidents for every 10,000 people. Most of these, about 61 percent, happen outside of a hospital. Only 39 percent happen inside a hospital setting. Cardiac arrest is more common as people get older. It also affects males more often than females. In the U.S., black people are twice as likely to die from it as white people.

Doctors and bystanders work quickly to help a person. The goal is to achieve return of spontaneous circulation. This means getting the heart beating on its own again. People use CPR to help pump blood manually.

CPR training-04
CPR training-04

They may also use defibrillation. This uses a machine to give an electrical shock to the heart.

Defibrillation Electrode Position
Defibrillation Electrode Position

Some people may even get an implantable cardioverter-defibrillator. This is a small device placed inside the body to prevent it from happening again.

Blausen 0543 ImplantableCardioverterDefibrillator
Blausen 0543 ImplantableCardioverterDefibrillator
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🖼️ Images & Media (10)
File:Basic representation of cardiac conduction.gif
Basic representation of cardiac conduction.gif
File:Ventricular fibrillation.png
Ventricular fibrillation.png
File:Coronary Artery Disease.png
Coronary Artery Disease.png
File:Heart left ventricular hypertrophy sa.jpg
Heart left ventricular hypertrophy sa.jpg
File:Left Ventricular Hypertrophy Unlabeled.jpg
Left Ventricular Hypertrophy Unlabeled.jpg
File:Carotidian pulse and recovery position.jpg
Carotidian pulse and recovery position.jpg
File:Blausen 0543 ImplantableCardioverterDefibrillator.svg
Blausen 0543...
File:CPR training-04.jpg
CPR training-04.jpg
File:Defibrillator-809447 1920.jpg
Defibrillator-809447 1920.jpg
File:Defibrillation Electrode Position.jpg
Defibrillation Electrode Position.jpg
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