Sudden Cardiac Arrest Association

June 25, 2009, Michael Jackson, known as the King of dry, dead Noise of cardiac take.

The disease cardio-vasculaire (CVD) is the principal cause of mortality in the United States and the majority of deaths of CVD is attributable to the Taken Sudden Cardiac (SCA) that claims more than 250,000 lives every year. A person dies events of sca-relate every two minutes. This is equivalent to more 650 deaths every day. Every year, more of people dies SCA than of cancer of the breast, cancer of the lung, the blow, or AIDS combined. 95% of case of SCA is fatal and of two-thirds of events of SCA arrives in the people without the preceding indications of disease of heart.

According to the American Heart Association (AH! AH!), SCA arrives when the electric impulses in the heart become the quick one or chaotic, that causes the heart suddenly to stop beating. The blood provision to the remainder of the body stops and without the blood provision, the provision in oxygen also is cut, has for result the damages of fabric and the death. Because of his suddenness, his cardiac taken one also is called the sudden death or the taken sudden cardiac (SCA) or the sudden cardiac death.

The taken cardiac is not an assault of heart. It is a false shed idea that SCA is synonymous to a heart assault. To instruct the public, the AH! AH! and the Coalition of Sudden Cardiac Take (SCAC) are quick to point out the difference. An assault of heart or the infarctus of the myocarde arrives when the arterial provision or the coronary arteries are compromised or are blocked, cutting thus the provision of blood to the heart. And if allowed continuing finally will take to the infarctus or to the injury to the heart muscles. "The term" the assault of massive heart" incorrectly often is used in the media to describe the sudden death". The SCAC has a beautiful analogy to explain to the general public: "If you think about your heart as a house - SCA would be a problem with the electricity; a heart assault would be a problem with the plumbing".

The taken cardiac is not the cardiac insufficiency. In the taken cardiac electric failure of the heart is sudden and unexpected, while the cardiac insufficiency is progressive but slow, allowing thus to the time for the patients of cardiac insufficiency finally to be considered as the candidates of transplantation of possible hearts.

Some people are more at the risk for SCA than of others.

(1) the deaths of SCA are more common among the women aged 35 to 44 years old in comparison of the men of the same age. The women have also one less than chance to raise itself SCA as the men.

(2) the African Americans have an a lot of more tops risks suffering from the events of sca-relate than the white and the others groups ethnic. They have also less than a 1% chance to survive, a lot to lower in comparison of the 5% chance of survival in the general population.

(3) Some conditions Some basic especially problems of heart do the more susceptible people to SCA than of others. Nevertheless, the individuals healthy same without any health problems can suffer from SCA.

There a lot of things that can cause the heart to stop abruptly. Most of the taken cardiac that take to the sudden death arrive when the electric impulses in the sick heart become the quick one (the tachycardia ventriculaire) or chaotic (the fibrillation ventriculaire) or the two. This irregular rhythm of heart (the arrhythmia) causes the heart suddenly to stop beating. Some taken cardiac one are because of slow down extremity (bradycardia) heart.

If which causes the electric system of the heart to fail?

(1) disease cardio-vasculaire. According to the AH! AH!, in 90% of adult victims of sudden cardiac death, two or coronary arteries more major are reduced by the fatty accumulations. Mark of an assault of previous heart is found in of two-thirds of victims.

(2) unloads Electrique/Electrocution. A strong electric disposal, for example the strikes of electrocution and lighting can cause the heart to stop. Mutually, it takes also an electric disposal to get going again the heart.

(3) Respiratory taken. When the people cannot breathe during to stifle, the asphyxiation, to drown, or the injury, SCA can arrive also.

(4) the physical activity Energique. There are cases of athletes suddenly collapsing during training or the competitions. This could be caused by the basic abnormalities of heart. The relaxed adrenaline during the excessive physical activity uses a releasing mechanism for the arrhythmia and sudden death.

(5) Medicines. The certain drugs, the prescription or illegal, can interfere with the heart rhythms. When received excessive quantities, certain medicines can stop completely the heart. Certain of these drugs are: the drugs execution improving used in the sports, the prescription dopes for the heart problems, bother, and the sleeping disorders especially insomnia, and the illegal drugs or "of leisures".

(6) Traumatism. A strong sudden blow to the heart during the sport competition for example, can cause a condition called Commotio cordis that can release the fibrillation ventriculaire and takes to SCA. An injury that damages the heart can take also to the taken cardiac.

(7) Unknown causes. Unfortunately, a lot of cases of SCA are put to the unknown causes, often in the young, the healthy people with no disease of apparent heart or the other risks factor.

How can the death of SCA be prevented? Not easy, indeed, 95% of case of SCA is fatal. Have a chance to survive, the victims of SCA must receive defibrillation life saving in the first one 4 to 6 minutes of an assault, when a damages of brain and organ begin arriving.

To follow are manners to get going again the heart during SCA:

(1) Defibrillators. These are the so-called applied levers to the chest to deliver an electric disposal to do the cardiac rhythm again. The defibrillators are only available in the services of urgency and the hospitals and only can be worked by medical people of trade.

(2) the Automatic External Defibrillators (AEDs) are portable defibrillators to batteries. Current AEDs is conceived to be opedrable by almost does not import that, even without definite medical training. AEDs is now widely available in the public places where the crowds tend to muster.

(3) the Defibrillators Implantables of Cardioverter (ICDs) are established in the patients that have a top risks for the taken cardiac of the tachycardia or the fibrillation ventriculaire recurrent sustained. An ICE reacts automatically to the irregular rhythms of the heart and applies an electric one bounces to restore the normal rhythms of heart. According to the SCAC, ICDs is 98% effective one to protect those to the risk for SCA, but only 35 percent of patients that demands that this device the one has. According to an item of New York Times "in the last one two years the number of patients that receive defibrillators declined indeed, as more of doctors and the patients decide the risks and the uncertainties than the devices put can take it on their potential advantages". More recently, the European Corporation of Cardiology (ESC) distributed a declaration on the driving of the restrictions for the patients established with ICDs.

(4) intensive care Cardiopulmonaire (intensive care cardio-pulmonaire) the works in tempting to maintain the sanguine flow to the heart and the brain until more effective defibrillation can be executed. About 80% of case of SCA arrives to the house, just as in the case of Michael Jackson. Therefore, intensive care cardio-pulmonaire needs to be executed by the passes, the members of the family, and the people, even without medical training. Unfortunately, only a third d'hors-de-l'ha´pital SCA the victims receive intensive care cardio-pulmonaire of pass and a lot die before the arrival of services of urgency. Intensive care cardio-pulmonaire of immediate effective pass can double or triple even a chances of survival of the gloomy victims. A 2008 investigation by the AH! AH! revealed that 80% of reply said that they wanted and able to do something to help if they observed a medical urgency. Nevertheless, few (12%-20%) are confiding that they would know when it is fitting to execute intensive care cardio-pulmonaire or uses an AED.

Then, that could have caused Michael Jackson taken it cardiac? Certain of the possible causes base on the history of personal and medical Jackson the Source: heartwire) includes:

(1) the Overdose of medicines of prescription. Foreseen this is the theory more popular but without a toxicology report, this remains speculative. It seems that Jackson was on the analgesics of prescription and two that probably could be implied in his death are Demerol (meperidine) and Oxycontin (oxycodone). Dr the Closings to glissia¨re of Douglas of University of Indiana School Medical, Indianapolis says heartwire: "This is really where I would go, but this all is very speculative to this point. We know that depends on the type of analgesics, they can depress the breathing. The initial histories are that it slowed down little by little his respiratory rate and his stopped breathing. That can create hypoxia, that can produce the fibrillation ventriculaire". The usage of Diprivan for his insomnia also was implied. Without an official report of toxicology, all these nevertheless, remain as the speculations.

(2) the Complications of the lupus. This is not one makes known, but Jackson seemed to have suffered from the lupus, an inflammatory disease that can affect also the heart and takes to a heart pad.

(3) the Other diseases of heart. A heart assault also was speculated but the singer did not have a history of disease of heart and no other conditions of heart was detected during the routine more recent physical examination.

(4) Tension. It cannot be denied that Jackson was in under too tension. It had major financial problems and it was to prepare to occupied a together international turn to begin in two weeks.

It is doubtless that SCA is a health major and worry mortal. Plea groups including the Heart Association American and the Coalition of Sudden Cardiac Take are actively implied in to bring this problem to the first row. There is even those that recommend the placement of routine of AEDs in the houses of patients that are at the top risks.

Nevertheless the mortality of SCA remains high even in the parameter of intensive care cardio-pulmonaire of pass and of AEDs. WE have very far to go!