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Heart Health Preventing Heart Problems

Stopping Cardiac Arrest: Ordinary Heroes


Medically Reviewed On: September 16, 2004

By Erica Heilman

It's hard to imagine an episode of ER without at least one really bad cardiac arrest. The EKG goes haywire, a nurse presses the electro-charged paddles to the victim's chest, screams, "Clear!" and voila, a heartbeat.

In the real world, however, 95% of cardiac arrest victims do not make it to the ER in time for resuscitation. According to the American Heart Association, approximately 250,000 people die annually from sudden cardiac arrest suffered outside the hospital, the equivalent of a full 747 plane crashing with no survivors every day.

Survival often depends on the amount of time between the onset of sudden cardiac arrest and defibrillation, which is an electrical stimulation, or "jump start" of the heart. Traditionally, defibrillation begins only when an emergency rescue team can reach the victim or when the victim can be delivered to an emergency room. Thanks to a portable device called an automated external defibrillator (AED), ordinary people at the scene of a cardiac arrest may be able to provide defibrillation, saving precious minutes and potentially many lives.

Below, Dr.Vinay Nadkarni, Chairman of the American Heart Association Emergency Cardiovascular Care Committee, talks about how AEDs work, and the role that ordinary people may one day play in reducing the number of cardiac-arrest-related deaths.

What percentage of people who have sudden cardiac arrest survive?
It varies. Survival can be as low as 2%—two survivors out of a hundred—and as high as 25%, in victims who arrest outside the hospital.

What causes sudden cardiac arrest?
There are many, many causes of sudden cardiac arrest. The most common cause is an abnormal heart rhythm, usually called ventricular fibrillation or a quivering of the heart, and the most common cause of this is heart disease. There are many other causes, which can include respiratory compromise or arrest, drowning, and trauma. The risk factors depend on the age and activity level of the individual.

Where does it most often happen?
The most common location for adults to have sudden cardiac arrest is in the home. In most studies, between 60 and 70% of sudden cardiac arrest occur in or around the home—the remainder mostly occurring in public places or venues.

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