Management is aimed at relieving symptoms, prevention and control of disease leading to
cardiac dysfunction or cardiac arrest, retarding disease progression and improving quality and length of life. Measures to prevent cardiac arrest is by treating arrhythmia that arises in line with the current condition of the patient. Next, management of cardiac arrest must be implemented quickly and accurately in accordance with local protocols and practices. We must confirmed cardiac arrest when the patient is unconscious, no breathing, or no pulse. If cardiac arrest is witnessed, do precordium thump to the patient and we also must recognize the heart rhythm with quick look paddle or electrode. Secondly, immediate CPR is crucial for treating sudden cardiac arrest. By maintaining a flow of oxygen-rich blood to the body’s vital organs, CPR can provide a vital link until more-advance emergency care is available. Thirdly, we must do deflation if there is ventricular fibrillation but this is in very urgent condition and must be done quickly because this include delivery of an electrical shock through the chest to wall of the heart. The procedure is called defibrillation, momentarily stops the heart and chaotic rhythm. This often allows the normal heart rhythm to resume. Fourthly, once you arrive in the emergency room, the medical staff will work to stabilize your condition and treat a possible heart attack, heart failure or electrolyte imbalances. You might be given medications to stabilize your heart rhythm. After you recover, the doctor will discuss with you or your family what other tests might help determine the cause of the cardiac arrest. Your doctor will also discuss preventive treatment options with you to reduce your risk of another cardiac arrest. The treatments might include drugs, implantable cardioverter-defibrillator (ICD), coronary angioplasty, coronary bypass surgery, radiofrequency catheter ablation and corrective heart surgery.