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  • What causes sudden cardiac arrest, even after angioplasty?

What causes sudden cardiac arrest, even after angioplasty?

Mike SternSeptember 21, 2022

Raju SrivastavaThe death has brought it back into the limelight. Heart Brains, The comedian passed away earlier today after being hospitalized for more than 40 days after suffering a heart attack, which he suffered while working out at a gym on August 10. He was 58 years old and is survived by wife Shikha and children Antara and Ayushmann.

Srivastava was admitted to Delhi’s All India Institute of Medical Sciences (AIIMS) where he underwent angioplasty and is said to have been critical and on ventilator for over a month.

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the news of his death was Confirmed Indian Express By his brother Deepu, who said, “He passed away on Wednesday morning. His daughter Antara just informed me about it. I am in Mumbai, leaving for Delhi.” According to hospital sources, the comedian passed away at around 10.30 am.

Srivastava’s nephew Kushal said he is a victim cardiac arrest Wednesday morning, which he could not save.

Can a patient have a cardiac arrest after having angioplasty?

Dr Amit Patil, a Consultant Interventional Cardiologist at Wockhardt Hospital, Mumbai, says indianexpress.com that a person who has been revived after CPR. through immediate medical intervention such as cardiac arrest (cardiopulmonary resuscitation) may experience cardiac arrest again.

“In fact, people who have survived an arrest once are at higher risk of having a sudden cardiac arrest again,” he said, later experiencing a sudden cardiac arrest. angioplasty Depends on the condition of the patient.

“in kind Raju SrivastavaHad he been in ‘cardiogenic shock’, there would have been a 50 percent chance that he would die of cardiac arrest even after performing angioplasty. Only 50 percent of critical patients have a chance of survival. Only in patients who are stable – or who do not have comorbidities – angioplasty can give a good outcome, with very little chance of sudden cardiac arrest,” Dr Patil explained.

Adding to this, Dr Praveen Kahle, Consultant Cardiology at Mumbai’s Kokilaben Dhirubhai Ambani Hospital, said that cardiac arrest is a “sudden and sudden loss of heart function, leading to unconsciousness due to disruption of the heart’s electrical system”. .

He told this outlet that heart patients suffer cardiac arrest in two situations: a major heart attack While the function of the heart is normal, or because of a blockage in the heart.

“Patients who have had angioplasty or bypass surgery Cardiac blocks can lead to cardiac arrest due to recurrence of the block or weak pumping action of the heart. A heart that has a pumping capacity of less than 35-40 percent has a 10-15 percent chance of heart failure. This is due to the presence of dead tissues that cause electrical disturbances and sudden heart attack death, Even after angioplasty and bypass surgery, weak heart pumping and sudden heart attack can increase the risk of sudden cardiac death,” he explained.

What is Angioplasty and when is it needed?

As mentioned earlier, the actor-comedian had a procedure called ‘angioplasty’, a procedure performed to enlarge the opening in a blood vessel or arteries, according to Dr. Anish Chandrana, an interventional cardiologist at Marengo CIMS Hospital. that has become narrowed or blocked by plaque, to enable normal blood flow to the heart.

When is it needed? “When a patient has an acute heart attack or severe anginal pain during physical activity – and they collapse – an angioplasty should be performed. If there are significant blocks in the arteries in the heart that hinder normal blood flow, and It is done if the patient’s anatomy is conducive to the procedure,” he said.

Angioplasty, Indian Express News Angioplasty is a procedure that is performed to enlarge the opening in a blood vessel or artery that has become narrowed or blocked by plaque to enable normal blood flow to the heart. (Photo: Getty/Thinkstock)

Dr Chandrana said that usually, if a patient undergoes a planned (non-emergency) coronary angioplasty, they are able to return to work after a week. In case of an emergency angioplasty a heart attackIt may take several weeks or months for the patient to fully recover.

They agreed that if the patient’s index is “acute myocardial disease, or they have had a severe heart attack causing massive damage to the heart, it could lead to death”.

“Even after the angioplasty procedure, there may be re-narrowing of the artery, which can lead to massive cardiac arrest again leading to fatal consequences. ,

He concluded with a caveat, explaining that a heart attack patient could be saved within a one-hour ‘golden hour’ period if they were taken to a hospital.

“Cardiac arrest occurs when an abnormal heart rhythm (arrhythmia) and your heart’s electrical system is not working properly. The system controls the rate and rhythm of your heartbeat. Cardiac arrest does not give a person any time to survive and is 92 – 95 per cent fatal,” said Dr Chandrana.

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