Heart Attack Slide Show

[TameDriver]

 

Attended the wake last evening.  Very nice & humble chap, gone too soon & sudden. Heaven did an urgent recall of this Angel.

Farewell, Jeremy, it has been an honour knowing you! 

 

 

[Ender]

3 hours ago, Lala81 said:

Hmm for most cardiac arrest at middle to older age, it's usually precipitated by a heart attack. 

For a young man in his 20s who has sudden cardiac death, u would be right that cardiac arrest without a heart attack is usually the cause. 

Cardiac Arrest should be the general term which includes both the heart attack and the electric malfunction type, right doc?

[Ender]

48 years old is young, somemore prime in his career, HOD.  Such a waste.. RIP.

[RadX]

1 minute ago, Ender said:

Cardiac Arrest should be the general term which includes both the heart attack and the electric malfunction type, right doc?

Arrest is suddenly stopping, due to sudden stop owing to many factors like VTachycardia, Fibrillation, etc...or some disorders like Brugada

 

MI is infarct, leading to lack of blood flow to the myocardium, ie, heart muscle, and if no blood, muscle no work, ultimately, the heart arrests.

 

So the end state is still ARREST, but the cause, can be a myriad of factors...

[Ender]

Just now, RadX said:

So the end state is still ARREST, but the cause, can be a myriad of factors...

So the term cardiac arrest is just a general term for the heart that stopped? 

[Ender]

1 hour ago, 13177 said:

Heart attack or cardiac arrest, think it's time to go, it's time.

How can you have this thought when you hang around the Exercise thread here? The thread is for the kiasi like me, not the leave it to fate mentality.😁

[Lala81]

2 minutes ago, Ender said:

Cardiac Arrest should be the general term which includes both the heart attack and the electric malfunction type, right doc?

Heart attack is the death of heart muscles due to inadequate blood flow.

Cardiac arrest would specifically mean, your heart is unable to sustain blood circulation due to no heartbeat or heart muscles seizing up from electrical abnormalities.

So cardiac arrest is the endpoint. Just like your appliance cannot work. But it maybe a short circuit inside/power leak vs a capacitor burst and the circuit board is spoilt.

If u have cardiac arrest where there is a defibrillator to deliver an external shock to your electrical system, then u might survive even with a massive heart attack. Even the most massive heart attacks will only reduce your heart function by about 50-75%.

The problem is the heart attack shocks your heart conduction system and causes the electrical problem of cardiac arrest .

 

[RadX]

7 minutes ago, Ender said:

So the term cardiac arrest is just a general term for the heart that stopped? 

sudden or progressive...well, MI may not lead to a cardiac arrest, or more comonly Myocardial ischemia related....

 

But arrest is normally due to conduction and rhythm related, ie, the SA Node, being the pacemaker, malfunctions, or sometimes, even in age related issues, where there are arrythmias tht can cause sudden cesstion of the trigger.

 

that's why thse 2 terms sometimes are confused interchangeably...just one is the end state, and the other, a precursor

[RadX]

4 minutes ago, Lala81 said:

Heart attack is the death of heart muscles due to inadequate blood flow.

Cardiac arrest would specifically mean, your heart is unable to sustain blood circulation due to no heartbeat or heart muscles seizing up from electrical abnormalities.

So cardiac arrest is the endpoint. Just like your appliance cannot work. But it maybe a short circuit inside/power leak vs a capacitor burst and the circuit board is spoilt.

If u have cardiac arrest where there is a defibrillator to deliver an external shock to your electrical system, then u might survive even with a massive heart attack. Even the most massive heart attacks will only reduce your heart function by about 50-75%.

The problem is the heart attack shocks your heart conduction system and causes the electrical problem of cardiac arrest .

 

but things like Brugada and Sudden Death syndrome, unexplained, no way to cure rt?

 

I know someone, 18yrs old, with Brugada...literally a ticking bomb

[Lala81]

I have known of pple who collapsed in hospital due to electrical abnormalities and survived. Simply cos rapid care can be delivered. 

Jogging alone or experiencing this in your sleep. Then you can only survive that few minutes lor.

I've actually taken care of a man who collapsed in west coast park running early morning. He was found at 7+am and actually managed to survive waiting for ambulance. Managed to wake up a few days later. Only God knows how long he took to be discovered. Can still walk around. But sure have some residual brain damage.

 

[Ender]

Just now, RadX said:

sudden or progressive...well, MI may not lead to a cardiac arrest, or more comonly Myocardial ischemia related....

 

But arrest is normally due to rhythm related, ie, the SA Node, being the pacemaker, malfunctions, or sometimes, even in age related issues, where there are arrythmias tht can cause sudden cesstion of the trigger.

 

that's why thse 2 terms sometimes are confused interchangeably...just one is the end state, and the other, a precursor

From the newspaper report, it mentioned it was Cardiac Arrest, which is the end point. So means we don't know what is the cause from the report , right? Could be either MI or heart rhythm related or something congenital?

[RadX]

1 minute ago, Lala81 said:

I have known of pple who collapsed in hospital due to electrical abnormalities and survived. Simply cos rapid care can be delivered. 

Jogging alone or experiencing this in your sleep. Then you can only survive that few minutes lor.

I've actually taken care of a man who collapsed in west coast park running early morning. He was found at 7+am and actually managed to survive waiting for ambulance. Managed to wake up a few days later. Only God knows how long he took to be discovered. Can still walk around. But sure have some residual brain damage.

 

CPR plus AED?

 

Am sure there would be cardiogenic shock as well in his case

[Lala81]

1 minute ago, RadX said:

but things like Brugada and Sudden Death syndrome, unexplained, no way to cure rt?

 

I know someone, 18yrs old, with Brugada...literally a ticking bomb

Brugada can be mostly prevented with implanted automated defibrillators. 

My wife's friend's wife has the above. In NS, I used to work with a NSF who had it as well. 

Probably Brugada and HOCM related cardiac arrhythmia are the more common causes of cardiac arrest in young teens to 20+ year old.

[Lala81]

Just now, Ender said:

From the newspaper report, it mentioned it was Cardiac Arrest, which is the end point. So means we don't know what is the cause from the report , right? Could be either MI or heart rhythm related or something congenital?

40+ year old, i think very likely it's MI or cardiac scarring related arrhythmia.

[RadX]

2 minutes ago, Ender said:

From the newspaper report, it mentioned it was Cardiac Arrest, which is the end point. So means we don't know what is the cause from the report , right? Could be either MI or heart rhythm related or something congenital?

he was jogging apparently...so cud be the silent MI where, it was at that point where the plaque closed off.  Can be asymptomatic .  Unless he had gone for a stress-ECG as a regular checkup and they would have detected any ST changes on the ECG

[Lala81]

53 minutes ago, TameDriver said:

 

Attended the wake last evening.  Very nice & humble chap, gone too soon & sudden. Heaven did an urgent recall of this Angel.

Farewell, Jeremy, it has been an honour knowing you! 

 

 

I worked in same dept as him in 2006. But not directly under him. I only vaguely remember him as a very nice guy to juniors, especially blur cocks like us starting out..
My friends who worked under him, also have great things to say about him.

 

[Kxbc]

2 hours ago, RadX said:

he was jogging apparently...so cud be the silent MI where, it was at that point where the plaque closed off.  Can be asymptomatic .  Unless he had gone for a stress-ECG as a regular checkup and they would have detected any ST changes on the ECG

i would have assumed as a doctor, he would have gone for all the required annual checkups and more to ensure he is tip top shape medical-wise.

He would have been able to contribute so much more in the next 10-20 years to all potential patients and of course, to his family. Really a shame he left so early.

[13177]

46 minutes ago, Kxbc said:

i would have assumed as a doctor, he would have gone for all the required annual checkups and more to ensure he is tip top shape medical-wise.

He would have been able to contribute so much more in the next 10-20 years to all potential patients and of course, to his family. Really a shame he left so early.

Heart related i think difficult to do checkups, cause there are many test and scan for heart, also dont know which one should a person do to prevent such thing to happen?