Each year sudden
cardiac arrest claims over 300,000 victims in the United States. It is
the number-one cause of death, accounting for more deaths than breast
cancer, lung cancer, and HIV combined. This unfortunately affects the
young and the old alike. How often do we hear about a loved one,
friends, or acquaintances suddenly dying? How often do we hear about a
young amateur professional athlete dying suddenly during an athletic
contest or on the practice field? Sudden cardiac arrest is indeed a
severe problem with consequences not only for the victim but also for
the family members.
WHAT IS SUDDEN CARDIAC ARREST?
Sudden cardiac arrest
is defined as the abrupt sensation of cardiac function, typically
secondary to a rapidly beating heart, where the heart stops beating or
when the heart mechanically stops functioning. Its end result is
typically death within an hour. Although the majority of cases occur in
the general population, we know that there are some conditions that
predispose to the development of these lethal arrhythmias. What has to
be understood is that conditions like acute myocardial infarctions,
myocardial ischemia, old myocardial infarctions, disorders that affect
not only the structure of the heart but also may disruptive of
electrical condition, and genetic conditions that affect the way the
heart electrically relaxes.
The first step is to
be honest with yourself regarding how you feel and whether or not you
are having any symptoms potentially linked to cardiac disease. A
detailed history and physical done by your physician should reveal
whether you have hypertension, diabetes mellitus, hypercholesterolemia,
evidence unsecured loans of cardiomyopathy, or indeed an abnormal electrocardiogram. If
you have been diagnosed with hypertension, diabetes mellitus or elevated
cholesterol, it would be essential that you are compliant with your
medicines, diet, and exercise as prescribed by your physicians, and
indeed dutiful to attend your physician appointments. The goal of
adherence to prescribed therapy for patients with risk factors is
essential in that if these conditions are tightly controlled, it will in
turn reduce your risk of rapid acceleration of developing heart disease
and in turn reduce your risk of sudden cardiac arrest.
WHAT CAN YOU DO FOR YOUR IMMEDIATE FAMILY?
It is important that
you insure your adult family members have seen a doctor and have access
to health care. It is equally essential to be aware of what your
parents’ medical conditions are and to insure that they are being
compliant with the regimen as prescribed by their physician. This is
particularly relevant in families with early risk of sudden cardiac
arrest in the absence of heart disease. bad credit loans This has typically suggested a
genetic predisposition to sudden death. In some instances it is
recommended that multiple family members undergo risk stratification. In
some cases, this can be done via electrocardiogram ruling out long QT
syndrome or Brugada syndrome. In other cases, it can be done via a 2-D
echocardiogram to rule out evidence of hypertrophic cardiomyopathy.
WHAT CAN YOU DO FOR YOUR COMMUNITY?
When sudden cardiac
arrest strikes a member of your community, it is worth noting that the
only effective therapy at the time of the arrest is CPR, as prescribed
by the American Heart Association, and rapid defibrillation. Hence, it
is essential to lobby for the placement of portable defibrillators at
community centers, recreational facilities, or other community venues.
In closing, sudden
cardiac arrest is a common lethal disorder that is typically the end
result of the confluence of multiple medical conditions. To improve
one’s risk for sudden cardiac arrest, one must dutifully modify the
potential risk factors including hypertension, diabetes mellitus,
obesity, and hypercholesterolemia as well as know your family
history. In addition, it is important to lobby for the placement of
portable defibrillators at heavily used community venues.
No comments:
Post a Comment