Sudden Cardiac Arrest and Heart Attack Most sudden cardiac arrests are due to abnormal heart rhythms called arrhythmias. The most
common arrhythmia is ventricular fibrillation (VF), in which the heart’s electrical impulses suddenly become
chaotic and ineffective. Blood flow to the brain abruptly stops; the victim then collapses and quickly loses
consciousness. Death usually follows unless a normal heart rhythm is restored within minutes.
A heart attack is different from sudden cardiac arrest although sometimes a heart attack
can trigger SCA. A heart attack occurs when one of the heart’s major blood vessels becomes blocked, shutting off
blood flow and oxygen to the heart muscle. Without oxygen the heart muscle starts to die, producing pain and
other symptoms. A heart attack may lead to a cardiac arrest.
In simple terms, a heart attack is a “plumbing” problem
caused when a vessel becomes clogged. Sudden cardiac arrest is an electrical problem. Unlike a
sudden cardiac arrest victim, a heart attack victim is often
awake and can talk despite having chest pain or pressure. The most common symptom of a heart attack is severe
pain or pressure in the center of the chest.
Sudden cardiac arrest strikes people of all ages and fitness levels,
usually without warning. Many of these lives could be saved if:
-
Bystan
ders act promptly to phone
911 and begin CPR, and
-
Trained
personnel provide defibrillation within 3 to 5 minutes.
Chain of
Survival
More people survive sudden cardiac arrest
when a certain sequence of events happens as quickly as possible. This series of steps is called the Chain of
Survival.
-
Early
Access: Recognizing that a
cardiovascular emergency exists and immediately notifying the EMS (Emergency Medical Services) system
is a key element. In most communities, phoning 911 activating the EMS system.
-
Early
CPR: Starting CPR immediately after
cardiac arrest to circulate oxygen-rich blood to vital organs buys time for the victim until
defibrillation can be given.
-
Early
Defibrillation: Defibrillation of
the victim as soon as equipment arrives.
-
Early
Advanced Care: Trained healthcare
providers arriving quickly to administer advanced lifesaving interventions.

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