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Know the difference between a

heart attack and cardiac arrest.


Characteristics Heart Attack Cardiac Arrest

65 (men) : 72 (women) (less likely Mid-60s (occurs in all ages, al-


Average Age to occur in people younger than 35 though frequency increases with
years of age) increasing age)

Male : Female
2:1 3:2
Incidence Rate

Blockage or significant narrowing


Cessation of mechanical activity of
of a coronary artery, causing tissue
Immediate Cause the heart, caused by a malfunction
damage to an area of heart muscle
in the heart’s electrical system
due to lack of oxygen

Patients may experience chest pain Some patients may experience


or upper body discomfort, unusual palpitations, dizziness, chest pain
Early warning
fatigue, weakness, nausea, short- or shortness of breath momentarily
symptoms
ness of breath; symptoms may before loss of consciousness and
occur days or weeks before. collapse.

Loss of pulse, blood Heart attack may lead to cardiac


Yes—in all cases
pressure, consciousness arrest

No, although gasping and agonal


Breathing? Yes breaths may be mistaken for
normal breathing.

May be accompanied by Characterized by complete lack of


Cardiac Rhythm arrhythmias that do not cause a heart rhythm or one incapable of
loss of mechanical heart beats generating a mechanical heart beat

Cardiac risk factors include


coronary artery disease, cardio-
myopathy, myocardial infarction,
Coronary artery disease, congenital
Risk Factors/ valvular heart disease, congenital
abnormalities in vasculature of the
Medical History heart disease, and genetic syn-
myocardium
dromes. Non-cardiac causes include
electrolyte imbalance, severe blood
loss, drug use, and drowning

• Medication to dissolve blood


clot, dilate coronary blood • CPR
vessels, and provide chest pain • Defibrillation
Treatment relief • ACLS
• Coronary angioplasty and stent • Post-arrest care
to open blocked artery
• Post-infarction care
NOTES: ACLS = advanced cardiac life support; CPR = cardiopulmonary resuscitation.
SOURCE: Strategies to Improve Cardiac Arrest Survival: A Time to Act (Institute of Medicine, 2015).

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