INVC,,
Delhi,,
It is easy to anticipate and identify people at risk of sudden cardiac death, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India.
The following people are at risk of sudden cardiac death:
• People who have survived a past cardiac arrest.
• Heart patient with pumping action of the heart less than 30%
• ECG showing wide QRS conduction of more than 120 msec.
• Inability to climb two flights of stairs without symptoms.
• Inability to walk 2 kms on level ground without symptoms.
• Inability to do exercise in the bed with the partner without symptoms.
• Patient with uncontrolled blood pressure, diabetes, smoking and people who drink more than 5 pegs of alcohol in one hour or 6 pegs of alcohol in one day.
• People who have survived a past cardiac arrest.
• Heart patient with pumping action of the heart less than 30%
• ECG showing wide QRS conduction of more than 120 msec.
• Inability to climb two flights of stairs without symptoms.
• Inability to walk 2 kms on level ground without symptoms.
• Inability to do exercise in the bed with the partner without symptoms.
• Patient with uncontrolled blood pressure, diabetes, smoking and people who drink more than 5 pegs of alcohol in one hour or 6 pegs of alcohol in one day.
• People who have uncontrolled snoring.
He said that a campaign should be started all over the country and
awareness should be created to the general public about the following
messages:
• Sudden cardiac death is preventable – Learn chest compression CPR
• Revival from cardiac arrest is possible in the first 10 minutes. Earlier the better.
• Sudden cardiac death is common in the first hour of acute heart attack.
• Most heart attacks occur in the early hours of the day.
• Chewing a tablet of water-soluble aspirin at the onset of the heart attack reduces the chance of death by 22%.
• Heart attack can be reversed within three hours of chest pain with clot-dissolving drug or by angioplasty.
• All heart patients should know their ejection fraction; if less than 30%, they need further evaluation.
• Sudden cardiac death is preventable – quit smoking today.
• Sudden cardiac death is preventable – keep your blood pressure under control.
• Sudden cardiac death – keep your diabetes under control.
• A 5 mm reduction of blood pressure can reduce chances of heart attack
• All group residential colonies should keep an automatic external defibrillator to tackle a cardiac arrest.
• If you are a heart patient with less than 30% ejection fraction, talk to your doctor about an automatic Implantable Cardioverter Defibrillator (AICD) – an internal electric shock device.
• All heart patients should know their QRS duration on ECG (should be < 120 ms).
• Heart patients with QRS duration of more than 120 ms on ECG need further evaluation.
• To reduce sudden cardiac death, all post heart attack patients should be on beta blockers, if not contraindicated.
He said that a campaign should be started all over the country and
awareness should be created to the general public about the following
messages:
• Sudden cardiac death is preventable – Learn chest compression CPR
• Revival from cardiac arrest is possible in the first 10 minutes. Earlier the better.
• Sudden cardiac death is common in the first hour of acute heart attack.
• Most heart attacks occur in the early hours of the day.
• Chewing a tablet of water-soluble aspirin at the onset of the heart attack reduces the chance of death by 22%.
• Heart attack can be reversed within three hours of chest pain with clot-dissolving drug or by angioplasty.
• All heart patients should know their ejection fraction; if less than 30%, they need further evaluation.
• Sudden cardiac death is preventable – quit smoking today.
• Sudden cardiac death is preventable – keep your blood pressure under control.
• Sudden cardiac death – keep your diabetes under control.
• A 5 mm reduction of blood pressure can reduce chances of heart attack
• All group residential colonies should keep an automatic external defibrillator to tackle a cardiac arrest.
• If you are a heart patient with less than 30% ejection fraction, talk to your doctor about an automatic Implantable Cardioverter Defibrillator (AICD) – an internal electric shock device.
• All heart patients should know their QRS duration on ECG (should be < 120 ms).
• Heart patients with QRS duration of more than 120 ms on ECG need further evaluation.
• To reduce sudden cardiac death, all post heart attack patients should be on beta blockers, if not contraindicated.
• To reduce sudden cardiac death, all post heart attack patients should be given cholesterol-lowering drugs.
• To reduce sudden cardiac death, all post heart attack patients should be on lifelong aspirin.
• To reduce sudden cardiac death, all post heart attack patients should be on lifelong aspirin.
