Cardiac Arrest Treatment in India
Cardiac Arrest Overview
Cardiac arrest is an urgent and life-threatening heart condition that requires immediate medical attention. In the critical moments of a cardiac arrest episode, the heart’s normal function is severely compromised. It may either come to a complete stop, ceasing to beat altogether, or it may start beating irregularly and chaotically. This disruption in the heart’s rhythm leads to a severe impairment in the circulation of blood throughout the body, particularly to the brain and vital organs. Consequently, individuals experiencing a cardiac arrest will abruptly collapse and lose consciousness.
The heart’s remarkable ability to function relies on a precise and coordinated electrical system. This intricate network of electrical impulses orchestrates each heartbeat, ensuring that the heart pumps blood effectively to supply oxygen and nutrients to the body’s tissues. However, when these electrical signals become erratic and uncoordinated, it results in irregular heartbeats, a condition known as arrhythmia. In the most dire cases, these arrhythmias can progress rapidly to a state of cardiac arrest. Without prompt and appropriate intervention, cardiac arrest can indeed be fatal, underscoring the critical importance of swift medical response and treatment.
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Symptoms of Cardiac Arrest
The symptoms of cardiac arrest are sudden and severe, including:
- Sudden shortness of breath
- Vomiting
- Fatigue or weakness
- Heart palpitations
- Sudden collapse
Immediate emergency care is necessary when these symptoms are present, particularly if:
- There is no pulse
- Chest pain is experienced
- Breathing has stopped or there are gasping sounds
- The person is unresponsive to touch or sound
- Causes of Cardiac Arrest
Cardiac arrest typically occurs suddenly and is often due to irregular heart rhythms, medically known as arrhythmias. These arrhythmias disrupt the heart’s normal electrical impulses, leading to abnormal heartbeats. Common heart conditions that can trigger cardiac arrest include:
Coronary Artery Disease (CAD): Blocked or damaged blood vessels supplying the heart with oxygen-rich blood can lead to CAD, a major cause of cardiac arrest.
Valvular Heart Disease: Narrowed heart valves can thicken the heart muscle, potentially causing cardiac arrest.
Cardiomyopathy: People with enlarged hearts are at higher risk of sudden cardiac arrest.
Congenital Heart Disease: Abnormalities in heart structure from birth can be a cause.
Electrical Abnormalities: Problems in the heart’s electrical system can also trigger cardiac arrest.
Diagnosis of Cardiac Arrest
Following immediate medical intervention, doctors perform various tests to identify the underlying cause of cardiac arrest. These diagnostic procedures may include:
- Chest X-ray to assess heart and blood vessel size and shape.
- Nuclear Stress Test using radioactive material to track blood flow in the heart and lungs.
- Coronary Angiography with X-ray imaging to examine heart blood vessels.
- Blood Tests to check for heart attack markers and various blood components.
- Electrocardiogram (ECG) to assess heart speed and rhythm.
- Echocardiogram using sound waves to capture images of the heart.
- Intracardiac Electrophysiology Study (EPS) to evaluate the heart’s electrical signals.
- Cardiac Magnetic Resonance Imaging (MRI) for a 3D image of the heart.
- Cardiac Catheterization to detect blocked or narrowed arteries.
Cardiac Arrest Treatment
Immediate medical attention is essential to restart the heart and restore normal rhythm during a cardiac arrest. Treatment may include:
Cardiopulmonary Resuscitation (CPR): Mimicking the heart’s pumping action with chest compressions to maintain blood flow.
Defibrillator: Using electric shocks to restart the heart.
After surviving cardiac arrest, doctors may recommend further treatments to reduce the risk of recurrence, such as:
Medications, including anti-arrhythmic drugs, beta-blockers, blood thinners, and nitrates.
Coronary Angioplasty to open blocked arteries.
Implantable Cardioverter-Defibrillator (ICD) to monitor and correct heart rhythm.
Coronary Bypass Surgery to create new pathways for blood flow.
Risk Factors for Cardiac Arrest
- Several factors increase the risk of cardiac arrest, including:
- Diabetes
- Obesity
- Stress
- Smoking
- Sedentary lifestyle
- Previous heart attack
- Obstructive sleep apnea
- Male gender
- Substance abuse
- High blood pressure
- Older age
- High blood cholesterol
- Lack of exercise
- Family history of heart disease
- Preventing Cardiac Arrest
There are several ways to reduce the risk of cardiac arrest, including:
- Quitting smoking
- Adopting a healthy diet
- Weight loss if needed
- Stress management
- Limiting alcohol consumption
- Increasing physical activity
- Monitoring heart health
- Complications of Cardiac Arrest
Cardiac arrest can lead to severe complications, including:
- Heart problems
- Brain injury
- Infection
- Lung conditions
Frequently asked questions (FAQs) related to cardiac arrest:
- What is the difference between a heart attack and cardiac arrest?
A heart attack is caused by a blockage in a coronary artery that restricts blood flow to the heart muscle. In contrast, cardiac arrest is a sudden malfunction in the heart’s electrical system, leading to a sudden loss of heartbeat.
- Can cardiac arrest be prevented?
While it cannot always be prevented, reducing risk factors like quitting smoking, managing chronic conditions, staying physically active, and eating a healthy diet can help lower the risk of cardiac arrest.
- What is an automated external defibrillator (AED) and how does it work?
An AED is a portable device that can analyze a person’s heart rhythm and deliver an electric shock if necessary to restore a normal heartbeat. It provides step-by-step voice instructions for use, making it accessible for non-medical personnel.
- Are there any warning signs of cardiac arrest?
Cardiac arrest often occurs suddenly without warning. However, some individuals may experience symptoms like chest pain, palpitations, or shortness of breath in the moments leading up to cardiac arrest.
- Can children experience cardiac arrest?
Yes, cardiac arrest can affect individuals of all ages, including children. In children, it may be caused by congenital heart conditions or other factors.
- What is the survival rate for cardiac arrest victims?
Survival rates vary depending on the circumstances, but early intervention with CPR and defibrillation can significantly improve the chances of survival. On average, in cases of witnessed cardiac arrest where CPR and defibrillation are administered promptly, survival rates can range from 20% to 40% or higher.
- Can cardiac arrest be hereditary?
While there can be a genetic component to heart conditions that may increase the risk of cardiac arrest, it is not solely hereditary. Lifestyle factors also play a significant role.
- Are there any long-term effects for survivors of cardiac arrest?
Survivors of cardiac arrest may experience various physical, emotional, and psychological effects. These can include memory problems, fatigue, anxiety, and depression. Cardiac rehabilitation programs and ongoing medical care can help manage these issues.
- How can I learn CPR and how to use an AED?
Many organizations, including the American Heart Association and Red Cross, offer CPR and AED certification courses. These courses are typically available both in-person and online, making it convenient to learn these life-saving skills.
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Fortis Escorts Hospital New Delhi
Number of beds: 310
ICU Beds: 158
Airport Distance: 19 KMs
Brief About:
- It was established in 1988 and is JCI accredited.
- Fortis Escorts Heart Institute is a premier multi-disciplinary hospital providing tertiary care and is recognized worldwide for its clinical excellence in cardiac care.
- The 310-beded hospital is a globally renowned centre boasting admirable outcomes for interventions like Cardiac Bypass Surgery, Minimally Invasive Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology and Paediatric Cardiac Surgery.
Medanta The Medicity Hospital
Number of beds: 1250
ICU Beds: 300
Airport Distance: 18 KMs
Brief About:
- Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
- Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
- The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.
Max Super Specialist Hospital Saket
Number of beds: 500
ICU Beds: 267
Airport Distance: 13 KM
Brief About:
- Max Super Speciality Hospital at Saket is one of the topmost healthcare service
- Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
- With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.
BLK-Max Super Speciality Hospital
Number of beds: 700
ICU Beds: 175
Airport Distance: 13 Km
Brief About:
- BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.
Artemis Hospital Gurgaon
Number of beds: 600
ICU Beds: 185
Airport Distance: 19 Km
Brief About:
- Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
- Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
- Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.
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- Providing local sim card
- Arranging video consultation with specialist doctor if case requires
Sanar International Hospital
Number of beds: 130
ICU Beds: 35
Airport Distance: 20 Km
About Hospital:
- Sanar International Hospital was established in 2018.
- Sanar International Hospital founded by Mr. Naresh Kapoor.
- Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.
Fortis Memorial Research Institute
Number of beds: 1000
ICU Beds: 298
Airport Distance: 17 KMs
Brief About:
- Fortis Memorial Research Institute was established in 2001.
- It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
- Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.
Indraprastha Apollo Hospital
No. of beds: 900
ICU Beds: 262
Airport: 20kms
Brief About:
- Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
- The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
- A team of highly trained medical professionals work under all the 52 specialities at the hospital.
Accord Superspeciality Hospital
Number of beds: 380+
ICU Beds: 41
Airport Distance: 46 Km
About Hospital:
- The story of Accord began with the thought of leveraging the new age technology with the healthcare infrastructure to serve the patients, rightly, effectively, and timely.
- Accord Superspeciality Hospital (A Unit Of SCL Healthcare Pvt. Ltd) is India’s first smart hospital and one of the first of its kind in the world.
- Accord Superspeciality Hospital aims at providing technologically advanced healthcare services to international patients who are looking out for medical tourism in India.
W Pratiksha Hospital
Number of beds: 110
ICU Beds: 31
Airport Distance: 19 KMs
About Hospital:
- Established in 1995, W Pratiksha Hospital is a 110+ bedded flagship hospital of the Pratiksha group.
- W Pratiksha Hospital in Gurgaon, the flagship hospital of Pratiksha Group is a one-of-its-kind facility in Gurgaon that brings to you 30 years of experience.
- The hospital has treated more than 25,000 people In 2018.
Aakash Health Care Delhi
Number of beds: 230
ICU Beds: 70
Airport Distance: 10 Km
About Hospital:
- Aakash Healthcare Super Speciality Hospital is a tertiary care facility, with 15 Dialysis, and 70 Critical care beds for treating the most complex cases in the National Capital Region (NCR) of Delhi, Dwarka.
- The hospital is equipped with state of the art infrastructure, latest technology, competent clinicians and compassionate staff.
- Aakash Healthcare Super Specialty Hospital is known for its leading care in Orthopaedic and Joint replacement surgery.
Jaypee Hospital
Number of beds: 525
ICU Beds : 150
Airport Distance: 32 KMs
About Hospital:
- The Jaypee Hospital was conceptualized by a revered Founder Chairman, Shri Jai Prakash Gaur in 2014, with the vision of promoting world-class healthcare amongst the masses by providing quality and affordable medical care with commitment.
- Jaypee Hospital at Noida is the flagship hospital of the Jaypee Group, which heralds the group’s noble intention to enter the healthcare space.
- This hospital has been planned and designed as a 1200 bedded tertiary care multi-speciality facility and has commissioned 525 beds in the first phase.
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