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Cardiac Arrest: Responding with Heart Attack CPR

Last Updated on: October 16, 2024

Table of Content

  1. What is Cardiac Arrest?
  2. Are cardiac arrest and Heart attack the Same?
  3. What are the common risk factors of cardiac arrest?
  4. How To Recognize If A Person Is Undergoing Cardiac Arrest?
  5. Indicator Of Cardiac Arrest In Unresponsive Patient
  6. How to respond when witnessing a cardiac arrest?
  7. CPR in Sudden Cardiac Arrest
  8. Role of CPR training in Saving Cardiac Arrest Victims.

 

Cardiac ailments are one of the most alarming medical emergencies. According to the CDC, around 702,880 individuals died of heart disease in 2022 in the USA. A majority of the deaths among these have been as a result of cardiac arrests and heart attacks. 

The life-threatening severity of these conditions provokes the need for emergency management of the same. The first line of management and emergency management in these kinds of conditions is Heart attack CPR. In this blog, we shall address how to recognize a cardiac arrest and how CPR can be beneficial to the victim.

 

What is Cardiac Arrest and How does it Happen?

Cardiovascular arrest definition can be given as the abrupt cessation or loss of cardiac function happening as a result of disruption in the normal electrical impulses of the heart’s musculature. The electrical impulses are responsible for the control of normal heart rate and rhythm. This event is counted as a medical emergency, which when left untreated can turn out to be fatal. Cardiac arrest causes more danger and severity than heart attack.

To understand how cardiac arrest happens, you might need to understand the normal conduction of the heart. The musculature of the heart consists of a web or a network of specialized heart tissue that can conduct electrical signals. This network of tissues is responsible for conducting the electrical impulses throughout the musculature of the heart. This system is also often referred to as the conduction system of the heart. The components of the conduction system include the Sinoatrial Node or SA node, Atrioventricular node or AV node, Bundle of His (atrioventricular bundle) and Purkinje fibers.

  • The SA node or the pacemaker of the heart is responsible for generating impulses that eventually lead to the heartbeat. 
  • The electrical impulse from the SA node spreads throughout the left and right atria causing the atria to contract and thus expel its volume of blood into the ventricles. 
  • A part of the electrical impulses are also transmitted to the AV node. The impulse passes through it and spreads along the branches of a bundle of his. 
  • The impulse spreads from the bundle of His throughout the left and right ventricles through Purkinje fibers. 
  • This causes the ventricles to contract, thus forcing them to expel the blood out into the general circulation.

When due to any underlying pathology or any other circumstances, there could be a failure in generation impulse or conduction across the heart muscles. This conduction abnormality results in the inability of the heart to contract properly, thus resulting in cardiac arrest.

 

Are cardiac arrest and Heart attack the Same?

It is a common notion among people to use the terms cardiac arrest and heart attack interchangeably. However, both of these conditions are entirely different. Heart attack, otherwise also called myocardial infarction, occurs when a blood clot potentially blocks the passage of blood through the heart. Cardiac arrest, on the other hand, is the abrupt stoppage or cessation of the heart’s function due to malfunctioning of the heart. Cardiac arrest and heart attack are different conditions. But if left untreated or unbothered, a heart attack can lead to cardiac arrest.

Heart attack can be considered as a circulatory dysfunction while cardiac arrest is more of an electrical dysfunction. 

 

What are the common risk factors of cardiac arrest?

In the USA, Cardiac arrest causes around 300,000-450000 deaths every year. The major conditions that are counted as cardiac arrest etiology are Cardiomyopathy, Coronary artery disease and Arrhythmias. Apart from these cardiac arrest can occur as a result of Trauma, Valvular heart disease, lack of oxygen or even due to extremely high levels of potassium and magnesium. 

A large number of heredity and lifestyle factors arise as risk factors for cardiac arrest. It includes the following:

  • Alcohol or drug abuse
  • Family history of heart disease
  • Underlying cardiac diseases or Heart disease
  • Elevated blood pressure for a prolonged time
  • Elevated cholesterol for a prolonged time
  • Suboptimal levels of potassium or magnesium
  • Obesity
  • Smoking
  • Above the age of 30 although it can affect all ages.
  • Gender: Males are proven to have a higher risk than women.

Understanding the risk factors involved can essentially help in being aware of the fact that a person is susceptible to Sudden cardiac arrest.

What are the common signs and symptoms of sudden cardiac arrest?

Because cardiac arrest is a medical emergency, knowing its signs and symptoms is essential for every individual. An understanding of the signs and symptoms of sudden cardiac arrest is necessary for intervention. In some cases, before cardiac arrest, a person might exhibit the following symptoms.

  • Fatigue
  • Chest pain
  • Nausea
  • Shortness of breath
  • Dizziness
  • Heart palpitations (fast or pounding heartbeat)
  • Loss of consciousness

The cardiac arrest symptoms are very similar to symptoms seen in patients undergoing heart attack. Although both are different, an unattended cardiac arrest can result in a heart attack as well. 

 

How To Recognize If A Person Is Undergoing Cardiac Arrest?

Cardiac arrest happens suddenly and without warning. As a result, the patient exhibits a swift loss of consciousness. A detectable pulse and breathing may be absent in cardiac arrest. In contrast, heart attacks tend to develop more gradually, by featuring symptoms such as chest discomfort, pain, shortness of breath, and other signs intensifying gradually over time.

 

Indicator Of Cardiac Arrest In Unresponsive Patient

A person can go unresponsive in sudden instances due to a variety of reasons. Looking out for the following indicators of cardiac arrest in unresponsive patients can help us in prompt intervention.

  • Absence of Response: The person turns out to be unresponsive to verbal stimuli or physical stimulation.
  • Absence of Normal Breathing: The person becomes unable to breathe. They might be gasping only instead of breathing. They might show occasional gasping, which is often called agonal breathing.
  • Lack or absence of Pulse: A detectable pulse is typically absent in cardiac arrest. Check if any pulse is present in the carotid artery in the neck. 
  • Unconsciousness: The person is unconscious and does not show any voluntary movements.
  • Pale or Cyanotic Skin: Due to lack of oxygen circulation, cyanosis (pale or bluish colour) may appear over the skin.

Sudden loss of consciousness, absence of breathing, and lack of a pulse are the primary and most prominent indicators of cardiac arrest in unresponsive patients. Recognizing it is essential to provide immediate intervention and action as it is a medical emergency. 

 

How to respond when witnessing a cardiac arrest?

The severity of this medical emergency requires it to have immediate intervention. A timely response is crucial for the patient to survive. Call 911 for emergency help, upon recognizing the signs and symptoms of cardiac arrest. 

A fast and prompt response can help to significantly increase the chances of survival in the patient. In most countries, including the United States, the emergency number in service is 911. Every individual needs to be aware of this number since encountering a medical trauma or emergency can happen unexpectedly.

When you call for emergency medical assistance, a well-coordinated process begins. Here’s what typically happens:

  • Emergency Medical Services (EMS) activation: Upon receiving your call, the emergency operator initiates the EMS response.
  • Dispatch of medical professionals: Trained medical personnel are immediately dispatched to your location.
  • Interim care instructions: While awaiting the arrival of medical professionals, the EMS dispatcher may provide important instructions over the phone.
  • Guidance for immediate action: The dispatcher can offer step-by-step guidance on performing essential procedures such as CPR for treatment of cardiac arrest.
  • Importance of CPR: Cardiopulmonary Resuscitation (CPR) is a crucial intervention for cardiac arrest cases, serving as a vital link in the chain of survival until professional help arrives.
  • Continuous support: The EMS dispatcher remains on the line to provide ongoing assistance and gather additional information as needed.

Read more: What does CPR stand for?

 

CPR in Sudden Cardiac Arrest

During cardiac arrest, the brain and other vital organs are deprived of oxygen-rich blood. When a person undergoes cardiac arrest providing CPR treatment immediately helps in circulating oxygen-rich blood to the brain and other vital organs thereby providing a better scope for patient survival. Only correctly performed CPR gives correct and valid results. It is necessary to learn how to perform CPR in Sudden cardiac arrest. Inadequately performed CPR is a waste of time. 

A few of the inadequately performed CPR symptoms include:

  • Lack of Chest Rise: When rescue breaths are given, a lack of visible chest rise indicates that air may not be reaching the lungs adequately.
  • Poor Chest Compression Depth: Inadequate depth of chest compression,  typically less than 2 inches (5 centimeters) in adults, results in ineffective compression. 
  • Incorrect Hand Posture and Positioning: Improper placement of hand and posture during compression can result in reduced compression force. An adequate amount of compression force on the sternum is essential for resuscitation to happen.
  • Incomplete Chest Recoil: A complete chest recoil between compressions is essential for proper blood flow into the heart. Incomplete chest recoil between compressions can result in a lack of proper blood flow.
  • Compression Rate Too Fast or Too Slow: The recommended compression rate for adult CPR is 100 and 120 compressions per minute. Deviation from this range can potentially reduce the effect of CPR.
  • Increased Interruptions: The period of interruptions during CPR should be the least possible. A prolonged break between chest compressions and rescue breaths can reduce the efficacy of resuscitation.

CPR mainly consists of sets of chest compression and rescue breaths at a specific rate and rhythm. Only a trained individual can know how to perform CPR in Sudden cardiac arrest. 

Read More: How to Use an AED: Step-By-Step Guide

 

Role of CPR training in Saving Cardiac Arrest Victims.

To carry out CPR techniques, one must be trained well to give effective chest compressions and rescue breaths. Only individuals trained under proper guidelines can perform it properly. This validates the need to stay updated on current guidelines. Concerns about the effectiveness of CPR need to be assessed under necessary situations and adjustments should be made promptly.

Heart attack CPR training thus plays a pivotal role in saving the lives of victims of cardiac arrest. Studies have shown a proven result that CPR acts as a bridge between defibrillation until an AED is brought to the site of the event. An individual with CPR training can not only promise a better survival rate from cardiac arrest but also promise lower long-term complications, thus offering neurological advantages. It also poses support at post cardiac arrest care.

 

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