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According to the American Heart Association, out-of-hospital cardiac arrest can affect more than 300,000 people in the United States each year. [5] Three minutes after the onset of cardiac arrest, a lack of blood flow starts to damage the brain, and 10 minutes after, the chances of survival are low. [6]
Cardiac rehabilitation (CR) is defined by the World Health Organization (WHO) as "the sum of activity and interventions required to ensure the best possible physical, mental, and social conditions so that patients with chronic or post-acute cardiovascular disease may, by their own efforts, preserve or resume their proper place in society and lead an active life". [1]
Defibrillation [21] — Defibrillation is the definitive treatment step for those cases of cardiac arrest that involve a shockable rhythm, or one correctable by defibrillation (pulseless unstable ventricular tachycardia, coarse or fine ventricular fibrillation; it will not work for asystole or pulseless electrical activity)
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Cardiac arrest occurs when the heart stops pumping in a regular rhythm. In this situation, early defibrillation is the key to returning the patient's heart back to a normal rhythm. When a defibrillator is not readily available, a rescuer or bystander should keep the blood flowing by performing chest compressions and rescue breaths at an age ...
Lazarus phenomenon is the rare spontaneous return of circulation after cardiopulmonary resuscitation attempts have stopped in someone with cardiac arrest. This phenomenon most frequently occurs within 10 minutes of cessation of resuscitation, thus passive monitoring is recommended for 10 minutes following CPR cessation.
CPR involves chest compressions for adults between 5 cm (2.0 in) and 6 cm (2.4 in) deep and at a rate of at least 100 to 120 per minute. [2] The rescuer may also provide artificial ventilation by either exhaling air into the subject's mouth or nose ( mouth-to-mouth resuscitation ) or using a device that pushes air into the subject's lungs ...
Generally, if portions of cardiac wall are receiving less blood than normal, coronary angiography is indicated; then, lesions are identified and inform a decision to undergo PCI or CABG. [ 6 ] CABG is generally preferred over PCI when there is a significant burden of plaque on the coronary arteries, that is extensive and complex, due to ...