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