Cardiac Arrest
In sudden cardiac arrest, the heart stops beating, and blood is not supplied to the body. The presentation is not subtle. Almost immediate loss of consciousness occurs, and the affected person will not be able to be aroused. The person will fall or slump over. No pulse will be able to be palpated, and there will be no signs of breathing.
- What Is Sudden Cardiac Arrest?
- What Causes Sudden Cardiac Arrest?
- What Are the Signs and Symptoms of Sudden Cardiac Arrest?
- How Is Sudden Cardiac Arrest Diagnosed?
- How Is Sudden Cardiac Arrest Treated?
- How Can Death Due to Sudden Cardiac Arrest Be Prevented?
- Key points
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What Are the Signs and Symptoms of Sudden Cardiac Arrest?
Sudden cardiac arrest symptoms are sudden and drastic:
- - Sudden collapse
- - No pulse
- - No breathing
- - Loss of consciousness
Sometimes, other signs and symptoms precede sudden cardiac arrest. These may include fatigue, fainting, blackouts, dizziness, chest pain, shortness of breath, palpitations or vomiting. But sudden cardiac arrest often occurs with no warning.
When to see a doctor
If you have frequent episodes of chest pain or discomfort, heart palpitations, irregular or rapid heartbeats, unexplained wheezing or shortness of breath, fainting or near fainting, or you're feeling lightheaded or dizzy, see your doctor promptly.
When the heart stops, the absence of oxygenated blood can cause brain damage in only a few minutes. Death will occur within eight to 10 minutes. Time is critical when you're helping an unconscious person who isn't breathing.
Usually, the first sign of sudden cardiac arrest is loss of consciousness (fainting). At the same time, no heartbeat can be felt.
Some people may have a racing heartbeat or feel dizzy or lightheaded just before they faint. Within an hour before SCA, some people have chest pain, shortness of breath, nausea or vomiting.
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Who Is At Risk for Sudden Cardiac Arrest?
Each year, between 250,000 and 450,000 Americans have sudden cardiac arrest (SCA). SCA occurs most often in people in their mid-thirties to mid-forties. It appears to affect men twice as often as women.
SCA rarely occurs in children unless they have inherited problems that make them likely to have SCA. Only a very small number of children have SCA each year.
Major Risk Factors
The major risk factor for SCA is undiagnosed coronary artery disease . Most people who have SCA are later found to have some degree of CAD. Most of these people don't know that they have CAD until SCA occurs.
Their CAD is "silent"—that is, it has no signs or symptoms. Because of this, doctors and nurses have not detected it. Most cases of SCA happen in people who have silent CAD and who have no known heart disease prior to SCA.
Many people who have SCA also have a silent, or undiagnosed, heart attack before SCA happens.
These people have no obvious signs of heart attack, and they don't even realize that they've had one. The chances for having SCA are higher during the first 6 months after a heart attack.
Other Risk Factors
Other risk factors for SCA include:
- • A personal or family history of SCA or of inherited disorders that make you prone to arrhythmias
- • A history of having arrhythmias
- • Heart attack
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• Heart failure
- • Drug abuse or excessive alcohol intake



