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Sudden Cardiac Death
Dr KK Aggarwal | 25 Aug 2013

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, & MTNL Perfect Health Mela.

 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, & MTNL Perfect Health Mela.

 Talking about sudden cardiac death, Dr Aggarwal, said that the following people are at risk:

·  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:

1. Sudden cardiac death is preventable – Learn chest compression CPR

2. Revival from Cardiac Arrest is possible in the first 10 minutes. Earlier the better.

3. Sudden Cardiac Death is common in the first hour of acute heart attack.

4. Most heart attacks occur in the early hours of the day.

5. Chewing a tablet of water-soluble aspirin at the onset of the heart attack reduces the chance of death by 22%.

6. Heart attack can be reversed within three hours of chest pain with clot dissolving drug or by angioplasty.

7. All heart patients should know their ejection fraction; if less than 30%, they need further evaluation.

8. Sudden cardiac death is preventable – quit smoking today.

9. Sudden cardiac death is preventable – keep your Blood Pressure under control.

10. Sudden cardiac death – keep your diabetes under control.

11. A 5 mm reduction of Blood Pressure can reduce chances of heart attack

 

12. All group residential colonies should keep an automatic external defibrillator to tackle a cardiac arrest.

13. If you are a heart patient with less than 30% ejection fraction, talk to your doctor for AICD (internal electric shock device).

14. All heart patients should know their QRS duration on ECG (should be < 120 ms).

15. Heart patients with QRS duration on ECG is more than 120 ms need further evaluation.

16. To reduce sudden cardiac death, all post heart attack patients should be on beta blockers, if not contraindicated.

17. To reduce sudden cardiac death, all post heart attack patients should be given cholesterol-lowering drugs.

18. To reduce sudden cardiac death, all post heart attack patients should be on lifelong aspirin.

 About HCFI:The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on" Hands only CPR" of 62966 people since 1st November 2012.

The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

 http://www.emedinews.org/press-release