Sudden Cardiac Arrest
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작성자 RH 작성일25-12-04 04:02 (수정:25-12-04 04:02)관련링크
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Sudden cardiac arrest occurs when the center suddenly stops beating, which stops oxygen-wealthy blood from reaching the brain and different organs. An individual can die from SCA in minutes if it is not handled straight away. Sudden cardiac arrest will not be a heart assault, despite the fact that it's possible you'll hear the phrases "heart attack" or "massive coronary heart attack" used to describe it. A heart assault happens when blood move to part of the heart is slowed or stopped, often because of plaque rupture in one of the coronary arteries. This causes loss of life of the guts muscle. But a coronary heart assault doesn't at all times imply that the guts stops beating. A coronary heart assault might trigger SCA, however the 2 terms don't mean the identical factor. In keeping with the National Heart, Lung, and Blood Institute, between 250,000 and 450,000 Americans have SCA each year. Almost 95% of those people die within minutes. Sudden cardiac arrest happens most frequently in adults in their mid 30s to mid 40s. It affects men twice as often as it affects women.
It infrequently affects children, except they have an inherited drawback that increases their risk. People with heart illness have a higher likelihood of SCA, however it can occur in people who seem wholesome and do not know they have any coronary heart issues. Most circumstances of SCA are brought on by a really fast heartbeat (ventricular tachycardia) or a really chaotic heartbeat (ventricular fibrillation). These irregular heart rhythms, referred to as arrhythmias, might trigger the center to stop beating. Another sort of arrhythmia, referred to as bradycardia, which is a very sluggish heart fee, also can trigger SCA. Coronary artery disease (CAD), which outcomes from a condition known as atherosclerosis. Atherosclerosis is a condition the place a waxy substance (plaque) forms inside the arteries that supply blood to your coronary heart. If that plaque builds up within the arteries that supply blood to your heart, the blood flow slows or stops. This decreases the quantity of oxygen that will get to the heart, which may lead to a coronary heart assault.
Any scarring or damage to the guts after a heart assault increases the chance of arrhythmia and SCA. Physical stress, which could cause the heart’s electrical system to stop working. In people who have already got coronary heart problems, intense bodily exercise or train can lead to SCA as a result of the discharge of the hormone adrenalin acts as a trigger for SCA. Inherited disorders, that are disorders that run in households. Some varieties of arrhythmias tend to run in households. Also, folks born with heart defects, a coronary artery anomaly (CAA), or Brugada Syndrome could also be at better danger of SCA. Medicines for coronary heart illness, which may generally enhance the risk of arrhythmias. Illegal or illicit drug use (like cocaine). Changes to the size or shape of the guts, which can be caused by high blood stress or heart disease. Changes to the heart’s construction could trigger issues with its electrical system, increasing the chance of arrhythmias.
What are the indicators and signs of SCA? For most individuals, the primary sign of SCA is fainting or a lack of consciousness, which happens when the guts stops beating. Breathing may stop right now. Some folks might expertise dizziness or lightheadedness just before they faint. How is SCA diagnosed? Because SCA happens quickly and without warning, it usually can't be diagnosed when it is occurring. Electrocardiography (ECG or EKG), which is used to look on the electrical activity of the guts. An electrocardiogram can tell your doctor so much about your coronary heart and the way it's working. This test may help your doctor be taught more about your heart rhythm, the scale and function of the chambers of your coronary heart, and your heart muscle. Echocardiography, which makes use of sound waves to supply an image of the center to see how it is working. Cardiac catheterization, which includes threading an extended, thin tube (referred to as a catheter) by an artery or vein in the leg or arm and into the heart.
Depending on the type of test your doctor has ordered, different things might occur during cardiac catheterization. For example, a dye could also be injected via the catheter to see the heart and BloodVitals monitor its arteries (a test referred to as coronary angiography or coronary arteriography). Electrophysiology studies (EPS), which use cardiac catheterization techniques to check patients with arrhythmias. EPS shows how the guts reacts to managed electrical alerts. Gated blood pool scan, or MUGA, which exhibits how properly your coronary heart is pumping blood. Magnetic resonance imaging (MRI) which gives docs detailed pictures of your heart. How is SCA treated? Sudden cardiac arrest should be handled straight away with a defibrillator, which is a machine that sends an electrical shock to the guts to restore its normal rhythm. If you happen to think somebody is having SCA, you should dial 9-1-1 straight away. Defibrillators at the moment are obtainable in lots of public locations, BloodVitals monitor corresponding to buying malls and airports. But if somebody is having SCA and there isn't a defibrillator out there, then cardiopulmonary resuscitation (CPR) must be performed till an ambulance or different help arrives. The chest compressions given throughout CPR transfer a small amount of blood to the heart and mind, "buying time" until a standard heartbeat might be restored. Patients with recognized heart problems who are vulnerable to SCA must be below the care of a physician. Patients who have already had SCA are at higher threat of having it again. These patients could also be handled with antiarrhythmic medicines or an implantable cardioverter defibrillator (ICD) to stop the arrhythmias that can lead to SCA. An ICD is a gadget that applies electric impulses or, if wanted, a shock to revive a normal heartbeat.
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