So what do you suggest like what would be the main assessment indicator for sudden cardiac arrest? Like someone gets to know that he had a Risk of Sudden Cardiac Arrest What would be the next step?
Right. So in the community, I think it is unfortunate that India is the capital of diabetes. And also we have a very high penetration of hypertension, as much as one out of four adults has hypertension and of course, diabetes. Our country is the diabetic capital. So to keep it very simple, those adults who have diabetes and hypertension must work aggressively on risk factor lowering, so that they do not develop heart disease. If they have developed heart disease, and their heart pumping is normal. It’s important they address their heart disease with their Best Cardiologists in Delhi. Even if it means just medical management. Some of them may need stents. Some of them may need bypass surgery, all of those should be done and subsequently should have should be on good medications to minimize your risk of sudden cardiac arrest. We must remember, in a subset of patients who have these problems, their heart pumping, which is seen on an echocardiogram may come down with what you call an ejection fraction. If the patient’s ejection fraction is compromised, that is E F, which is noted on an echocardiogram. If the ejection fraction is compromised and is less than 30 to 25%. It is important that the patients understand they may need a device which is called a defibrillator. So a defibrillator is a simple device. And these defibrillators come in these types. These defibrillators are implanted below your collarbone on the left side in the majority of the cases. So this defibrillator is called an ICD implantable cardioverter defibrillator. It is of utility to those patients whose ejection fraction is lesser than 30 to 35%. Irrespective of the cause. It’s important to discuss with your cardiologist that if you need one if your cardiologist thinks you must consider having an ICD implanted because this device is indeed a medical Marvel for those patients who are at risk of sudden cardiac death. This disease ICD minimizes your risk of sudden cardiac arrest is a device that is implanted under the skin. And it is as if you have a very intelligent doctor sitting inside your chest while this defibrillator watches every beating of the heart. when it seems that your heart is behaving abnormally, that means I told you already that it should be 60 to 100 times a minute. And if your heart begins to beat abnormally fast, the ICD is trained to deliver therapy, such that your heartbeat comes back to normal meaning thereby that you could be saved from the sudden cardiac arrest episode by the intervention of the defibrillator. The defibrillator may sometimes give shocks which you should understand and discuss with your cardiologist before you go in for implantation. So you know what your info is when you have the device implanted,
right? So ICD seems to be very useful for the patient connects some very basic questions from the list of patients that what basically the hospital do when they In the case of severe cardiac arrest, and someone goes, secondary dies. Yeah. So if what I understand is…
If The Patient Comes Into The Emergency Room With The Risk Of Sudden Cardiac Arrest, What Do We Do?
So the most important point here is that we have to work very aggressively, we have to be really quick in addressing the problem, because the chances of survival, minimize by the minute, as the patient has a sudden cardiac arrest. So as soon as the patient comes into the emergency room, and if we see that the patient is having a very fast beating of the heart, we immediately put the patient on a defibrillator, which is a large device, which you would have seen in hospitals and clinics. And some of you may have seen in movies, we attach the patient to a defibrillator, and we give an external therapy with the help of paddles, we revive the patient immediately. Sometimes we may have to give artificial ventilation, where the tube is put inside the mouth, and the revive the patient of the patient comes up comes back to normal life. But the most important message here is that we have to work really quickly to salvage the patient because every minute the chances of patients surviving come down by 10%. So that’s why we have to act really quickly to save the patient. Another very common question is…what is the difference between sudden cardiac arrest? I think that’s a very important point to address…
What Is The Difference Between Sudden Cardiac Arrest And A Heart Attack?
So What is a Heart Attack? a heart attack is when a patient complains of sudden tearing pain in the center of his chest as if somebody has died a band or somebody is sitting on his chest, and the pain from here can radiate to the top of his shoulders can also go along the inner side of the arm. This is called a heart attack. a heart attack is because of sudden occlusion or blockage of the blood vessel of the heart. That is a heart attack. Why sudden cardiac arrest, as I told you in the very beginning, is an electrical problem of the heart, the heart begins to beat and normally fast, it is supposed to normally be between 60 to 100 times a minute, but when there is a sudden cardiac arrest, it can be as much as 250 to 300 times a minute, meaning there is ineffectual contraction, that is a distinction between a heart attack and a sudden cardiac arrest. Unfortunately, there always remains confusion and the public is unable to understand the distinction between the two, we must be very clear heart attack means blockage of the blood vessels of the heart. But during a heart attack, a patient is susceptible to sudden cardiac arrest. Hence, you must immediately be rushed to a hospital when you suspect that you may have a heart attack. Why did a sudden cardiac arrest, it can come out of the blue, it can present itself without just discomfort. sudden cardiac arrest can present itself for the very first time with the patient falling down on the ground. Hence, those of us in the community who are at a high risk of lifestyle diseases of developing heart disease must address our lifestyle diseases aggressively. Keep your blood pressure under control. Keep your diabetes under control. Remember to exercise regularly. Do not smoke, look after your lifestyle in terms of go for regular exercises. Look after your diet. If you work on all these elements aggressively, you minimize your risk of sudden cardiac arrest.
From the viewers, we have one question from today was asking people who already have the ice with them.
Can we also be working? sanitary? Correct? Yes. So what does an ICD do? an ICD is an implantable cardioverter-defibrillator and ICD is implanted under the skin under the collarbone. What does this ICD do this ICD watches every beating of the heart as soon as it sees that there is abnormal beating means that the patient is actually having a sudden cardiac arrest. Before the patient fades or falls, this ICD delivers therapy. The ICD can deliver therapy either by quickly giving shock impulses to the heart and break that rhythm. But sometimes it may have to give a shock, just like you see that the patients get an external shock.
Read Also:- What Happens in SCA? By Best Cardiologist Doctor In Delhi
This ICD is a very small device but it is a medical Marvel. It has the capacity to deliver shock therapy to the heart and revive the heart. So it gives a shock internally when it For the device, the heart needs a shock and brings the back brings back the heart to a normal beating of 6200 times a minute. So, another question from when happened to anyone. So we must remember that sudden cardiac death is common. I already said that it comes one 4000 globally, in a year. So it’s a common occurrence. Whom does it affect? It typically affects younger adults young means those who are beyond 35 years of age. It typically affects those who have disease in the blood vessels of the heart, but they may not know for sure that they have disease in the blood vessels of the heart. It typically affects those who have lifestyle diseases means if you have the risk factors for heart disease, or you already have heart disease and have poor pumping of the heart, you have a higher chance of sudden cardiac arrest. To put it very simply. The risk is largest for those patients who already have heart disease and poor pumping of the heart. There they are at the highest risk have those who have heart disease and the ejection fraction is less than 30 to 35%. The next subgroup is those people who already have heart disease with lifestyle diseases. The third group is those who are who have lifestyle diseases but do not know that they have heart disease, must remember that those of us who have no lifestyle diseases also are at minimal risk of having sudden cardiac arrest means we all must tend to our heart, we must look after it, we must look after our diet, we must exercise every day we must eat healthily, we must not smoke. So these are very simple pointers, which can protect us from sudden cardiac arrest and get sober we have many questions in our comment section. And I think we have covered all of them. So do you have any take-home messages for your viewers?
Yes, in my take-home messages, we must understand first, that sudden cardiac arrest is common. We must understand that sudden cardiac arrest will not just happen to our neighbors. sudden cardiac arrest can affect any of us or our family members. It is our duty to learn basic life support and cardiopulmonary resuscitation so that if any of our loved ones suffer a sudden cardiac arrest, we can come to the rescue. We must recognize that there are certain risk factors that put us at risk of sudden cardiac arrest. The risk factors are if you have diabetes, if you have high blood pressure, if you are smoking, you accidentally consume large amounts of alcohol, or have a high family history of developing heart disease. It is not difficult to act on these risk factors and minimize your risk of sudden cardiac arrest. Those of us who have family members who have already suffered from heart disease, and have a poor pumping of the heart ejection fraction less than 30 to 35%. It is a good idea that you address this to your doctor by asking them if your patient needs the implantable cardioverter-defibrillator. Thank you so much Dr. Aparna Jaswal (Best Cardiologist in India) for being with us. And we will see you shortly with some other topic on another day. Thank you so much. Goodbye.
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