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Cardiac Arrest

Topic Overview

In cardiac arrest, the heart suddenly stops beating. This causes blood to stop pumping to the body. If the heartbeat is not restarted within minutes, the person will die. This problem is also called sudden cardiac arrest.

Cardiac arrest is different from a heart attack, which happens when part of the heart muscle dies because blood flow to it has been blocked.

What causes it?

Cardiac arrest is usually caused by a problem with the heart's electrical system. In most cases, the heart's rhythm is too fast and irregular. This problem is called ventricular fibrillation (say "ven-TRICK-yuh-ler fib-ruh-LAY-shun"). The lower chambers of the heart (ventricles) quiver very fast and can't pump blood.

But cardiac arrest often happens to people who didn't know they had a heart problem.

Some other health problems can increase the chance of a deadly heart rhythm. They include:

  • Heart disease (coronary artery disease).
  • A heart attack.
  • Heart failure.
  • Hypertrophic cardiomyopathy (say "hy-per-TROH-fik kar-dee-oh-my-AWP-uh-thee"). This makes the heart thicker and larger than normal.

Treatment of these problems can lower the risk of sudden cardiac arrest. Medicine often can control the heart rhythm. Some people may get a device called an implantable cardioverter-defibrillator (ICD). It's placed in the chest to check for a dangerous heart rhythm. If the heart has a dangerous rhythm or stops, the ICD can shock it back into a normal rhythm.

Some people have catheter ablation. This procedure can fix a bad heart rhythm without surgery. A doctor puts tubes and wires into a blood vessel to destroy a very small part of the heart that causes bad rhythms.

How is it treated?

Health professionals, family or friends, and even strangers may be able to help a person right away who has cardiac arrest. They can use CPR or a device called an automated external defibrillator (AED). This device can shock the heart back to a normal rhythm. AEDs are often available in airports, malls, and other public places. To save a person, the device needs to be used within minutes of cardiac arrest.

In the ambulance and hospital, the person will receive emergency care. This care keeps the heart and lungs working to prevent damage to the body due to lack of oxygen. Doctors will try to find the cause of the cardiac arrest to prevent another one.

What you can do

A healthy lifestyle can help keep your heart strong and healthy. Try to:

  • Eat a heart-healthy diet. Eat more fruits and vegetables and other high-fiber foods.
  • Exercise for at least 30 minutes on most, if not all, days of the week.
  • Quit smoking, if you smoke. Smokers who quit cut their risk of heart disease by half after 1 year.
  • Drink alcohol only in moderation. That means no more than 2 drinks a day for men, 1 drink a day for women.
  • Avoid using illegal drugs, such as stimulants like cocaine, ecstasy, or methamphetamine. They can affect your heart's rhythm.

If you take medicine for a heart problem, take it exactly as prescribed. Go to your doctor appointments, and call your doctor if you're having problems.

References

Other Works Consulted

  • Peberdy MA, et al. (2010). Post-cardiac arrest care: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 122(18, Supplement 3): S768–S786.
  • Reynolds MR, et al. (2011). Sudden cardiac death. In V Fuster et al., eds., Hurst's the Heart, 13th ed., vol. 1, pp. 1139–1162. New York: McGraw-Hill.

Credits

By Healthwise Staff
Rakesh K. Pai, MD, FACC - Cardiology, Electrophysiology
John M. Miller, MD, FACC - Cardiology, Electrophysiology
Last Revised August 9, 2012

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