Discuss why it is happen in sudden? From my opinion, Roger might have Sudden Cardiac Arrest (SCA). Sudden cardiac arrest is the sudden, unexpected loss of heart function, breathing and consciousness. Sudden cardiac arrest usually results from an electrical disturbance in the heart that disrupts its pumping action, stopping blood flow to the rest of the body. Sudden cardiac arrest is different from a heart attack, which occurs when blood flow to a portion of the heart is blocked.
In this case it's called paroxysmal (par-ok-SIZ-mul) atrial fibrillation. You may have symptoms that come and go, lasting for a few minutes to hours and then stopping on their own. • Persistent. With this type of atrial fibrillation, your heart rhythm doesn't go back to normal on its own. If you have persistent atrial fibrillation, you'll need treatment such as an electrical shock or medications in order to restore your heart rhythm.
The echocardiogram demonstated both RWMA and apical thrombus. Case Presentation A 61 – year – old male suffered an out of hospital cardiac arrest. The arrest was witnessed by his wife and basic life support was initiated in less than 6 minutes, with advanced life support being initiated with in 20 minutes. Epinephrine and amiodarone was given in route to the emergency department. An external defibrillator was used to shock the patient into sinus rhythm, a total of 10 shocks was administered and cooling measures were also started.
When plaque builds up in the arteries, it reduces, or eventually blocks where blood can flow. CAD over time can weaken the heart muscle, cause an irregular heartbeat, cause heart failure, or lead to death. Treatment and prevention are vital to caring for a patient with CAD. Treatment occurs after a patient has been diagnosis with CAD. They have either suffered a myocardial infarction or simply had angina (chest pain) that was evaluated with coronary angiography.
Time to call 911 If the person shows any of these symptoms, even if the symptoms go away, call 9-1-1 and get them to the hospital immediately. What to do if you think someone is having a stroke Immediately call 9-1-1 or the Emergency Medical Services (EMS) number so an ambulance can be sent. Also, check the time so you'll know when the first stroke symptoms appeared. A clot-busting drug called tissue plasminogen activator (tPA) may improve the chances of getting better but only if you get them help straight away. A TIA or transient ischemic attack is a "warning stroke" or "mini-stroke" that produces stroke-like symptoms.
Peter’s past medical history showed Ischemic Heart disease, Angina, and Aortic Valve Replacement. Following Acute Coronary Syndrome (ACS) protocol Peter was placed on the cardiac monitors and his vital signs observed half hourly. Observations showed sinus tachycardia 120 beats per minute (BPM), pyrexia (temperature of 39.6) and hypotension (systolic blood pressure 85mmHg) (SIGN 2007). Myocardial infarction (MI) refers to necrosis of myocardial cells caused by cessation or severe reduction in the blood supply (Jowett and Thompson 1995). Following an MI irreversible necrosis of a portion of heart muscle results due to prolonged ischaemia (Lilly 1998).
Cardiac death included death resulting from an acute MI, sudden cardiac death, death due to heart failure and death due to cardiac procedures. All deaths were deemed cardiac unless proven otherwise. MI was defined according to the third universal definition . Clinically-driven TLR was defined as the reintervention of the target lesion due to presence of a symptomatic ≥ 50% diameter stenosis during follow-up. TVR was defined as any revascularization of any segment of the index coronary artery.
HEART FAILURE This is also referred to as Congestive heart failure. it is a clinical syndrome which occurs when the heart is unable to pump sufficient amount of blood to meet the metabolic requirement of the tissue for oxygen. It can also result from structural cardiac abnormalities which impair the ability of the ventricle to fill or eject blood. The heart is weakened and cannot pump enough blood as strongly as before this implies that less oxygen is reaching the organs and muscles which can cause tiredness or shortness of breath. Etiology of cardiac failure: • Systemic hypertension-The most common cause in 75% of cases • Changes in the structure of the heart -changes in the valves causes volume and pressure overload • Disease conditions-valvular
Stroke Awareness Health Assessment The self-risk assessment I chose to complete was about strokes. A stroke occurs when blood supply to the brain is temporarily interrupted or disturbed. Being that the brain requires a constant flow of oxygen any interruptions could prove to be fatal. The two types of strokes are Ischemic or hemorrhagic. An ischemic stroke is typically caused by excess buildup of plague on the blood vessel walls that narrows blood flow dramatically.
• Severe bleeding • Cardiac arrest • Shock • Loss of consciousness • Epileptic seizure • Choking and difficulty with breathing • Fractures and suspected fractures • Burns and scalds • Poisoning • Electrical injuries 2. Procedures to be followed if any of the above sudden illnesses should occur are: Severe bleeding – if someone has severe bleeding you must aim to 1: bring the bleeding under control 2: limit the possible infection 3: arrange urgent medical attention. Procedure would be to apply pressure to the wound for 10minutes to allow the blood to clot. If there is an object in the wound do not remove it just apply pressure to the sides of the wound. Call for the senior registered nurse to access the severity of the injury they will judge whether a paramedic needs to be called.