卡iac Arrest

Overview

心脏骤停是什么?

卡iac arrest happens when your heart stops beating or beats so fast that it stops pumping blood. During cardiac arrest, people typically collapse and become unresponsive. Symptoms start without warning. This is why it’s also known assudden cardiac arrest. The condition can become fatal if you don’t get immediate treatment.

If you notice the signs of cardiac arrest, call 911 immediately.

Why do cardiac arrests happen?

With cardiac arrest, abnormal, rapid impulses abruptly override the normal electrical impulses that start yourheartbeat. When your heart isn’t beating, there’s no way to get oxygen-rich blood to the rest of your body.

卡iac arrest vs. heart attack

Here’s how cardiac arrest and heart attack are different:

  • 卡iac arrest happens when rapid, abnormal impulses override your heart’s natural rhythm. It’s an electrical issue.
  • Heart attackoccurs when a clogged artery disrupts blood flow to your heart. A heart attack is a common cause of cardiac arrest.

Is cardiac arrest the same as sudden cardiac death?

With cardiac arrest, your heart stops beating, but a rescue is still possible. With immediate treatment, you can survive.

心脏性猝死参考s to a cardiac arrest without someone saving you.

Who does cardiac arrest affect?

Sudden cardiac arrest happens in people with and without heart disease. Having a heart attack or other heart condition can significantly increase your risk.

More than 356,000 Americans each year experience cardiac arrest outside of a hospital. It typically affects adults. Only 3% of cases involve children.

Symptoms and Causes

What are the symptoms of cardiac arrest?

Faintingcan mean you’re going into cardiac arrest. Symptoms of cardiac arrest include:

Are there warning signs before cardiac arrest?

Yes. Before you faint, you may have other cardiac arrest symptoms, including:

Is cardiac arrest painful?

Some people have chest pain before they become unconscious from cardiac arrest. However, you won’t feel pain once you lose consciousness.

What causes cardiac arrest?

Irregular heart rhythms (arrhythmias) are the immediate cause of cardiac arrest.

Abnormal heart rhythms that cause cardiac arrest may include:

Conditions and situations that can lead to these abnormal heart rhythms are the underlying causes of sudden cardiac arrest. These include:

What are the most common causes of sudden cardiac arrest in children?

Conditions or accidents that can make a child’s heart suddenly stop beating include:

  • Congenital heart disease.
  • Infectious diseases.
  • Respiratory conditions.
  • Severe injury (trauma).
  • Toxins (ingesting poisonous substances).

These issues lower oxygen levels or reduce the volume of blood. This prevents your heart from functioning.

Diagnosis and Tests

How do you detect cardiac arrest?

卡iac arrest symptoms begin suddenly, leaving little time for tests. The condition can become fatal within minutes. This is why a quick diagnosis is essential.

A person’s symptoms are often the best way to diagnose cardiac arrest, especially if they:

  • Are unconscious.
  • Have nopulse.

Management and Treatment

How is cardiac arrest treated?

Emergency cardiac arrest treatment includes restarting your heart and restoring a regular rhythm. Care includes using:

  • 卡iopulmonary resuscitation (CPR):Immediate CPR is one of the most important treatments to improve cardiac arrest survival. CPR is often performed until an automatic or external defibrillator is ready. CPR uses chest compressions to replace the heart’s pumping action. It moves small amounts of blood from your heart to your brain.
  • Automatic defibrillator or external defibrillator:Once connected, this device delivers a brief electrical current (shock) to your chest. The current travels to your heart. This stops the abnormal impulses and restores the normal impulses that make it beat. It may take more than one shock for your heart to pump on its own again.

How quickly should I receive treatment for cardiac arrest?

卡iac arrest can be fatal if it lasts longer than 8 minutes without CPR. Brain damage can happen after just 5 minutes.

卡iac arrest treatment should start right away, even if you’re not in the hospital. If you’re in a public area, like a school, mall or sports venue, CPR and an automated external defibrillator (AED) can help.

An AED is a device that a person without medical training can use to shock someone else’s heart. The AED confirms there’s no heartbeat before delivering the shock. Ideally, one person should use the AED while another calls 911.

Prevention

How can I reduce my risk?

If abnormal heart rhythms run in your family, you may want to talk with a genetic counselor. They can tell you who might be at risk or need testing for an issue that causes arrhythmia.

Testing can let you know whether you’re at risk for sudden cardiac arrest. Healthcare providers may recommend:

How can I prevent cardiac arrest?

Treatments that can prevent cardiac arrest or lower your risk of a second episode include:

Outlook / Prognosis

What can I expect if I have cardiac arrest?

Nearly nine out of 10 people who survive cardiac arrest have permanent brain damage from a lack of oxygen. This can bring changes to your daily life and abilities.

You may experience:

Survival without brain damage is far more likely with early CPR and defibrillation.

Does cardiac arrest mean death?

While most people don’t survive a cardiac arrest, survival rates are better than they were just 10 years ago. About 11% of people who have a cardiac arrest outside a hospital and get emergency treatment survive and go home from the hospital. About 26% of people who have cardiac arrest inside a hospital survive and go home.

Living With

How will life be different after surviving sudden cardiac arrest?

You may have no memory of your heart stopping. Some people wake up in the hospital days later. After returning home, it’s not uncommon for complications to occur. You may need to go back to the hospital for more treatments.

Rehabilitation after your hospital stay can help maximize your abilities. It can take months to relearn once-simple activities like walking and getting dressed. Many people return to their daily lives, but some need ongoing help.

Researchers have seen improvements in cardiac arrest survivors’ quality of life after six months.

What else can I expect?

Surviving a life-threatening condition can cause mental health challenges (post-intensive care syndrome).

You may benefit from mental health services to help you cope with:

How do I take care of myself?

卡iac arrest is a traumatic event that most people don’t survive.

  • Be patient with yourself while you slowly get back to being able to do things you did every day.
  • Take advantage of any programs that help you get back to normal life.
  • Keep your checkup appointments with your healthcare provider.

When should I go to the ER?

If you see someone unconscious, the best thing to do is call 911. They can send help and talk you through giving CPR.

What questions should I ask my doctor?

  • Should I buy an AED to keep at home?
  • Are there any programs available to help me adjust to my new reality?
  • Is my family at risk for cardiac arrest?

A note from Cleveland Clinic

Recovery from cardiac arrest takes time and includes therapies to help maximize your abilities. Many survivors need ongoing heart care to prevent another episode of sudden cardiac arrest. Be sure to go to all of your follow-up appointments and keep taking any prescribed medicines. It may give you peace of mind if people who live with you take a CPR class in case of another cardiac arrest. Most cardiac arrests outside a hospital happen at home.

Last reviewed by a Cleveland Clinic medical professional on 05/18/2022.

References

  • American Heart Association.心脏骤停。(https://www.heart.org/en/health-topics/cardiac-arrest/about-cardiac-arrest)Accessed 5/18/2022.
  • Fugate JE, Rabinstein AA.Life after cardiac arrest: better with time.(https://pubmed.ncbi.nlm.nih.gov/24291509/)Resuscitation. 2014 Feb;85(2):157-8. Accessed 5/18/2022.
  • Merck Manual Consumer Version.心脏骤停和心肺复苏。(https://www.merckmanuals.com/home/heart-and-blood-vessel-disorders/cardiac-arrest-and-cpr/cardiac-arrest-and-cpr)Accessed 5/18/2022.
  • National Heart Blood and Lung Institute.Sudden Cardiac Arrest.(https://www.nhlbi.nih.gov/health-topics/sudden-cardiac-arrest)Accessed 5/18/2022.
  • Sawyer K, Camp-Rogers TR, Kotini-Shah P, et al.Survivorship: A Scientific Statement From the American Heart Association.(https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000747)Circulation. 2020;141:e654–e685. Accessed 5/18/2022.
  • Sudden Cardiac Arrest Association.卡iovascular Outcomes, Psychosocial Education.(https://suddencardiacarrest.org/support/)Accessed 5/18/2022.
  • Sudden Cardiac Arrest Foundation.Latest Statistics.(https://www.sca-aware.org/about-sudden-cardiac-arrest/latest-statistics)Accessed 5/18/2022.
  • Vega RM, Kaur H, Edemekong PF.卡iopulmonary Arrest In Children.(https://www.ncbi.nlm.nih.gov/books/NBK436018/)[Updated 2022 May 1]. In:StatPearls[Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Accessed 5/18/2022.

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