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Cardiac Arrest, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Cardiac Arrest, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Cardiac Arrest, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
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Cardiac Arrest, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

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This book describes Cardiac Arrest, Diagnosis and Treatment and Related Diseases
Cardiac arrest happens when the heart suddenly ceases beating.
When this happens, blood flow to the brain and the rest of the body also ceases.
Cardiac arrest is a medical emergency
If it is not treated within a few minutes, cardiac arrest most often causes death.
Causes
A heart attack is not a cardiac arrest; they are not similar.
A heart attack occurs when a blocked artery obstructs the flow of blood to the heart.
A heart attack can injure the heart, but it does not necessarily cause death.
Occasionally a heart attack can activate a cardiac arrest, however.
Cardiac arrest is caused by a problem with the heart's electrical system, such as:
1.Ventricular fibrillation (VF)
When VF occurs, the lower chambers in the heart fibrillate instead of beating regularly.
The heart cannot push out the blood, which leads to cardiac arrest.
2.Heart block
This happens when the electrical signal is slowed or stopped as it moves through the heart.
Disorders that may lead to cardiac arrest are:
1.Coronary heart disease (CHD)
2.Heart attack
3.Abnormal levels of potassium or magnesium
4.Severe physical stress
5.Recreational drugs
6.Medicines
Symptoms
1.Sudden loss of consciousness; a person will fall to the floor or slump down if sitting
2.No pulse
3.No breathing
Diagnosis
Cardiac arrest happens so fast that there is no point doing tests.
If a person survives, most tests are done afterwards:
1.Blood tests to check for enzymes that can show there is a heart attack.
2.The doctor may also use blood tests to check the levels of certain minerals, hormones, and chemicals.
3.Electrocardiogram (ECG) to measure the heart's electrical activity.
4. Echocardiogram to show if the heart has been damaged
5. Cardiac MRI helps the doctor see pictures of the heart and blood vessels
6. Nuclear ventriculography to check how well the heart is pumping blood
7. Intra-cardiac electrophysiology study (EPS) to monitor the heart's electrical signals is working.
8. EPS is used to check for abnormal heartbeats or heart rhythms.
9. Cardiac catheterization lets the doctor to see if the arteries are narrowed or blocked
10. Electrophysiologic study to evaluate the conduction system.
Treatment
Cardiac arrest needs emergency treatment right away to get the heart started again.
1.Cardiopulmonary resuscitation (CPR)
This is often the first form of treatment for cardiac arrest.
It can be done by anyone who has training in CPR.
2. Defibrillation.
This is the most important treatment for cardiac arrest.
It is done with a medical device (defibrillator) that gives an electrical shock to stimulate the heart to beat normally.
If the patient survives cardiac arrest, the patient will be admitted to a hospital
Depending on what caused the cardiac arrest, the patient may need other medicines, procedures, or surgery.
The patient may have an implantable cardioverter-defibrillator (ICD) placed under the skin near the chest
Bystander cardiopulmonary resuscitation (CPR)
The spectator use of automated external defibrillators raises neurologically intact survival to defibrillator discharge
Medicines used in cardiac arrest are:
1.Ventricular arrhythmia: Epinephrine or vasopressin; amiodarone and lidocaine
2.Pulse-less electrical activity (PEA): Epinephrine; atropine used in bradycardia
3.Asystole: vasopressin is better than epinephrine
Surgery
1.Temporary cardiac pacing
2.Radiofrequency ablation
3.Cardioverter defibrillator therapy
4.Coronary artery bypass grafting (CABG)
5.Excision of ventricular tachycardia foci
6.Excision of left ventricular anuerysm
7.Aortic valve replacement
8. Orthotopic heart transplant

TABLE OF CONTENT
Introduction
Chapter 1 C

LanguageEnglish
PublisherKenneth Kee
Release dateApr 6, 2018
ISBN9781370182664
Cardiac Arrest, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Author

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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    Book preview

    Cardiac Arrest, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

    Cardiac Arrest,

    A

    Simple

    Guide

    To

    The Condition,

    Diagnosis,

    Treatment

    And

    Related Conditions

    By

    Dr Kenneth Kee

    M.B.,B.S. (Singapore)

    Ph.D (Healthcare Administration)

    Copyright Kenneth Kee 2018 Smashwords Edition

    Published by Kenneth Kee at Smashwords.com

    Dedication

    This book is dedicated

    To my wife Dorothy

    And my children

    Carolyn, Grace

    And Kelvin

    This book describes Cardiac Arrest, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

    (What The patient Need to Treat Cardiac Arrest)

    This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

    If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

    Thank you for respecting the hard work of this author.

    Introduction

    I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

    My purpose in writing these simple guides was for the health education of my patients.

    Health Education was also my dissertation for my Ph.D (Healthcare Administration).

    I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

    This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

    From which many free articles from the blog was taken and put together into 800 eBooks.

    Some people have complained that the simple guides are too simple.

    For their information they are made simple in order to educate the patients.

    The later books go into more details of medical disorders.

    The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

    Since 2013, I have tried to improve my spelling and writing.

    As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

    Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

    I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

    I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

    I apologize if these repetitions are irritating to some readers.

    Chapter 1

    Cardiac Arrest

    What is Cardiac Arrest?

    Cardiac arrest happens when the heart suddenly ceases beating.

    When this happens, blood flow to the brain and the rest of the body also ceases.

    Cardiac arrest is a medical emergency.

    If it is not treated within a few minutes, cardiac arrest most often causes death.

    What are the causes of Cardiac Arrest?

    Causes

    A heart attack is not a cardiac arrest; they are not similar.

    A heart attack occurs when a blocked artery obstructs the flow of blood to the heart.

    A heart attack can injure the heart, but it does not necessarily cause death.

    Occasionally a heart attack can activate a cardiac arrest, however.

    Cardiac arrest is caused by a problem with the heart's electrical system, such as:

    1. Ventricular fibrillation (VF)

    When VF occurs, the lower chambers in the heart fibrillate instead of beating regularly.

    The heart cannot push out the blood, which leads to cardiac arrest.

    This can occur without any cause or as a result of another disorder.

    2. Heart block

    This happens when the electrical signal is slowed or stopped as it moves through the heart.

    Disorders that may lead to cardiac arrest are:

    1. Coronary heart disease (CHD)

    CHD can block the arteries in the heart, so the blood cannot flow smoothly.

    Over a period, this can cause a strain on the heart's muscle and electrical system.

    2. Heart attack

    A previous heart attack can produce scar tissue that can result in VF and cardiac arrest.

    Heart disorders, such as congenital heart disease, heart rhythm disorders, heart valve disorders, and an enlarged heart can also result in cardiac arrest.

    3. Abnormal levels of potassium or magnesium.

    These minerals help the heart's electrical system work.

    Atypically high or low amounts can induce cardiac arrest.

    4. Severe physical stress

    Anything that induces a severe stress on the body can lead to cardiac arrest.

    This can be electrical shock, trauma, or major blood loss.

    5. Recreational drugs

    The use of some drugs, such as cocaine or amphetamines, also raises the danger of cardiac arrest.

    6. Medicines

    Some medicines can raise the possibility of abnormal heart rhythms.

    Factors that cause development of coronary artery disease (CAD) and myocardial infarction (MI) and ischemic cardiomyopathy are:

    1. Family

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