SAFAKNA TURKEY – Specialist in Cardiology and Cardiovascular Imaging at Memorial Bahçelievler Hospital. Özge Özden provided the following information about cardiac arrest and measures to be taken in this regard in the near future:
In domestic and foreign films and series, it is shown how extremely successful and easy it is to return people whose heart has stopped. Those who have a cardiac arrest recover very quickly and begin to speak immediately after resuscitation. However, in real life it is not much easier. We have all witnessed how people from our families and loved ones, as well as many celebrities we know, have passed away from sudden cardiac death. Many of them are called “he had a heart attack, he died”; while the correct name for what actually happened is “sudden cardiac death.” A heart attack, of course, is one of the important and common situations that cause this. So if you’re watching a TV show and you see a straight line on a patient’s monitor and the doctor is giving him an electric shock, it indicates that the script hasn’t received proper medical attention; because the heart, called asystole, in which the electrocardiogram of the heart shows a straight line, cannot be electrocuted.
WHAT IS SUDDEN CARDIAC ARRANGEMENT? “Sudden cardiac arrest is a sudden cardiac arrest due to a malfunction in the electrical system that keeps the heart functioning normally. The person stops breathing and completely loses consciousness. In the absence of emergency intervention, death occurs. What can be done in this situation is to start CPR immediately by knowledgeable and trained people, use devices called automatic external defibrillators (OEDs) if available, and call 112 very quickly. This is the only way to ensure survival. sick. Sudden cardiac death continues to be a major public health problem worldwide. There is a misconception about this issue that is actually wrong and needs to be corrected: “Sudden cardiac death and a heart attack are not the same thing.” A heart attack is a serious medical emergency that can present with conditions such as chest pain, back pain, pain radiating to the jaw and neck, arms, sweating, restlessness, shortness of breath, palpitations, and even fainting due to critical stenosis or sudden occlusion coronary arteries supplying the heart. Yes, this is “one of the causes” of sudden cardiac death. This is one of the reasons, as I have already emphasized, because one can make a very large list of diseases that can cause sudden cardiac death. From genetic diseases that affect the heart muscle to the formation of blood clots in the lungs; There can be many underlying causes, from severe chest trauma to electrolyte imbalances.
WHAT HAPPENS DURING A HEART REST? After cardiac arrest, because the heart cannot perform its duties, oxygenated blood cannot reach any organs, especially the brain. Cardiac arrest can be basically in two ways. The first is “asystole”, which is complete electrical cardiac arrest, it is a shockless rhythm, and CPR is required. The other is a fatal, chaotic rhythm disorder, which we call “ventricular fibrillation” and is a rhythm that requires a shock. If we’re in a place with an OED, like an airport, we’re really lucky. When used correctly, this device will recognize fibrillation and deliver the appropriate shock. Both will lead to death if not intervened in time. At this point, the most important thing will be that the person must notify 112.
SURVIVE IS POSSIBLE WITH URGENT AND APPROPRIATE MEDICAL INTERVENTION Sudden cardiac arrest can happen to anyone in shopping malls, schools or at work, wherever we are. And at this moment it is necessary to restore the rhythm as soon as possible. Emergency intervention for sudden cardiac arrest involves electroshocking the heart with a device called CPR and PED, as I emphasized above, and as I emphasized above, it is very important for a person to notify 112 while all this is happening, because it is possible to survive with timely and proper medical care. The fact that AEDs are so life-saving is clear evidence that an increase in the use of these devices will increase the chances of survival after sudden cardiac death.
WHY IS TIME SO IMPORTANT? Time is very important because; If the heart stops, the oxygen needed for life cannot reach any part of the body, especially the brain. As the time for appropriate intervention increases, irreversible damage occurs and, of course, if no intervention is made within a short time, the person will die.
WHAT ARE THE RISK FACTORS Anything that increases the risk of heart disease can naturally increase the risk of sudden cardiac arrest. These include a family history of coronary heart disease, male gender, smoking, high blood pressure, various cholesterol disorders called dyslipidemia, obesity, diabetes, and a sedentary and strenuous lifestyle.
Other conditions that may increase the risk of sudden cardiac arrest are: having a previous history of sudden cardiac arrest or having a genetic disorder in the family that can cause sudden cardiac death, various heart muscle diseases, a previous heart attack, various heart rhythm disorders, heart failure, cocaine or amphetamines, drug use, low levels of potassium, calcium, or magnesium, a sleep disorder called obstructive sleep apnea, acute or chronic kidney disease.
WHEN TO SEE A DOCTOR? Call the 112 Emergency Center or your doctor if you suddenly develop any of the following symptoms: Chest pain, pain such as tearing back pain Palpitations, fainting, or fainting Sudden onset of a fast or irregular heartbeat Sudden unexplained wheezing Sudden shortness of breath Sudden dizziness
HOW TO PREVENT SUDDEN CARDIAC DEATH? The general rules of a healthy lifestyle are actually precautions against sudden cardiac arrest. These include a healthy diet, exercising at the frequency and intensity recommended by our doctor, regular check-ups for general health, not smoking or tobacco use, not drinking excessive alcohol, maintaining an ideal weight, and controlling blood pressure and cholesterol levels. having regular check-ups for heart disease, one can list that he sleeps regularly and tries to stay away from stress.”
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