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WHAT HAPPENS IF A PATIENT IS RESCUED (RESUSCITATED) FROM A CARDIAC ARREST?
Without specific treatment, these patients are prone to having another serious event such as another cardiac arrest. Fortunately, there are very effective treatments available. Most of these patients will undergo a variety of cardiac tests, including electrocardiograms, an echocardiogram (ultrasound), exercise testing, and often cardiac catheterization with an angiogram. Many of them will also have a form of electrical testing known as electrophysiologic study. The treatment may include drugs to stabilize heart rhythm, or a device known as an implanted cardioverter defibrillator, which is a miniature, automatic device the size of a small bar of soap that is implanted in the body and automatically detects and treats a rapid life-threatening heart rhythm if it occurs. Other treatments may include a variety of other drugs, or bypass surgery.
Atrial fibrillation is the most common heart rhythm disturbance. Unlike ventricular fibrillation, it is not life-threatening and does not cause collapse, loss of consciousness, heart attack or heart damage. It is, however, extremely common and can moderately or even severely impair quality of life. This rhythm disturbance arises in the collecting chambers of the heart (known as the atria), and leads to a rapid, irregular heartbeat that is less efficient than a normal heartbeat. Patients with this rhythm disorder suffer from palpitations, lightheadedness, shortness of breath and weakness in varying degrees of severity. These symptoms can be intermittent or continuous. Atrial fibrillation can be very effectively treated, but requires close follow-up with a physician expert in its care. Many patients with atrial fibrillation will be at risk for clot formation inside the heart, which can lead to stroke. This can be very effectively prevented by a blood thinner called warfarin, whose use is detailed below.
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