Cardiac Arest

1. SUDDEN CARDIAC
ARREST
Dr. Mansoor Khan
MBBS, FCPS I,
Resident, Surgical “C”, KTH
Peshawar.
Nov 2
nd
, 2008

2. “Electrical system of the
heart either stops or
contracts irregularly,
causing the heart to
pump ineffectively ”

3. Ninety-five percent of people who
have SCA die from it
—most within minutes.

4. Arrhythmias
(ventricular tachycardia, ventricular
fibrillation)
Coronary artery disease
Severe physical stress
Inherited disorders that disrupt the
heart's electrical activity (LQTS)
Structural changes in the heart
(CCF)

6. Coronary artery disease (CAD)
Arrhythmias, Heart failure,
Drug abuse or excessive
alcohol intake, Smoking

7. CAD causing ventricular fibrillation

8. Sudden Fainting leading to unconsciousness
Pulselesness on examinationt, sometimes
racing heartbeat, dizziness or light-headedness
just before fainting, shortness of breath, nausea
or vomiting

9. EKG (Electrocardiogram),
Echocardiography
Angiography

10. Normal EKG

11. There is electrical activity so it isn't a flat line BUT
NO RECOGNIZABLE PATTERN , NO p-wave,
no QRS complex

12. Treatment
Emergency Preventive

13. Emergency Treatment
SCA is a cardiac emergency,
Without immediate treatment
patient dies within minutes

14. Emergency Treatment
Survival is not cardiologist
dependent

15. Emergency Treatment
Survival depends on location,
location, location

16. Emergency Treatment
Depends on CPR and early
defibrillation

17. Emergency Treatment
Mass training of layman
in CPR
Provision of Automated
external defibrillators
(AEDs) in public places

18. Cardio-Pulmonary
Resuscitation (CPR)

19. Cardio-Pulmonary Resuscitation (CPR)

20. How to use Automated
external defibrillators
AED……

21. How to use Automated external defibrillators AED……

22. Combination of CPR
& AED use

23. Combination of CPR & AED use

24. Preventive Treatment

25. Admit the patient
Sort out the cause of SCA (CAD,
CCF etc)
Treat the cause
Implantable cardioverter
defibrillator (ICD)

26. Implantable cardioverter defibrillator (ICD)

28. Absolutely no pulse, no BP, no
breathing

29. THANKS