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SUDDEN CARDIAC ARREST
Dr. Mansoor KhanMBBS, FCPS I,
Resident, Surgical “C”, KTHPeshawar.
Nov 2nd, 2008
“Electrical system of the heart either stops or contracts irregularly, causing the heart to
pump ineffectively ”
Ninety-five percent of people who have SCA die from it
—most within minutes.
Arrhythmias
(ventricular tachycardia, ventricular fibrillation)
Coronary artery disease
Severe physical stress
Inherited disorders that disrupt the heart's electrical activity (LQTS)
Structural changes in the heart (CCF)
Coronary artery disease (CAD)Arrhythmias, Heart failure,Drug abuse or excessive alcohol intake, Smoking
CAD causing ventricular fibrillation
Sudden Fainting leading to unconsciousnessPulselesness on examinationt, sometimes
racing heartbeat, dizziness or light-headedness just before fainting, shortness of breath, nausea
or vomiting
EKG (Electrocardiogram), Echocardiography
Angiography
Normal EKG
There is electrical activity so it isn't a flat line BUTNO RECOGNIZABLE PATTERN, NO p-wave, no QRS complex
Treatment
Emergency Preventive
Emergency Treatment
SCA is a cardiac emergency,Without immediate treatment
patient dies within minutes
Emergency Treatment
Survival is not cardiologist dependent
Emergency Treatment
Survival depends on location, location, location
Emergency Treatment
Depends on CPR and early defibrillation
Emergency Treatment
Mass training of layman in CPR
Provision of Automated external defibrillators (AEDs) in public places
Cardio-Pulmonary Resuscitation (CPR)
Cardio-Pulmonary Resuscitation (CPR)
How to use Automated external defibrillators AED……
How to use Automated external defibrillators AED……
Combination of CPR & AED use
Combination of CPR & AED use
Preventive Treatment
Admit the patient
Sort out the cause of SCA (CAD, CCF etc)
Treat the cause
Implantable cardioverter defibrillator (ICD)
Implantable cardioverter defibrillator (ICD)
Absolutely no pulse, no BP, no breathing
THANKS