SUDDEN CARDIAC ARREST AWARENESS FORM Name of Student: __________________________________________________
Revised February 2015
What is Sudden Cardiac Arrest?
Ø Occurs suddenly and often without warning. Ø An electrical malfunction (short-‐circuit) causes the bottom chambers of the heart (ventricles) to beat dangerously fast (ventricular tachycardia or fibrillation) and disrupts the pumping ability of the heart. Ø The heart cannot pump blood to the brain, lungs and other organs of the body. Ø The person loses consciousness (passes out) and has no pulse. Ø Death occurs within minutes if not treated immediately.
What causes Sudden Cardiac Arrest?
Ø Conditions present at birth § Inherited (passed on from parents/relatives) conditions of the heart muscle: ♦ Hypertrophic Cardiomyopathy – hypertrophy (thickening) of the left ventricle; the most common cause of sudden cardiac arrest in athletes in the U.S. ♦ Arrhythmogenic Right Ventricular Cardiomyopathy – replacement of part of the right ventricle by fat and scar; the most common cause of sudden cardiac arrest in Italy. ♦ Marfan Syndrome – a disorder of the structure of blood vessels that makes them prone to rupture; often associated with very long arms and unusually flexible joints. § Inherited conditions of the electrical system: ♦ Long QT Syndrome – abnormality in the ion channels (electrical system) of the heart. ♦ Catecholaminergic Polymorphic Ventricular Tachycardia and Brugada Syndrome – other types of electrical abnormalities that are rare but run in families. § NonInherited (not passed on from the family, but still present at birth) conditions: ♦ Coronary Artery Abnormalities – abnormality of the blood vessels that supply blood to the heart muscle. The second most common cause of sudden cardiac arrest in athletes in the U.S. ♦ Aortic valve abnormalities – failure of the aortic valve (the valve between the heart and the aorta) to develop properly; usually causes a loud heart murmur. ♦ Non-‐compaction Cardiomyopathy – a condition where the heart muscle does not develop normally. ♦ Wolff-‐Parkinson-‐White Syndrome –an extra conducting fiber is present in the heart’s electrical system and can increase the risk of arrhythmias. Ø Conditions not present at birth but acquired later in life: ♦ Commotio Cordis – concussion of the heart that can occur from being hit in the chest by a ball, puck, or fist. ♦ Myocarditis – infection/inflammation of the heart, usually caused by a virus. ♦ Recreational/Performance-‐Enhancing drug use. Ø Idiopathic: Sometimes the underlying cause of the Sudden Cardiac Arrest is unknown, even after autopsy.
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SUDDEN CARDIAC ARREST AWARENESS FORM What are the symptoms/warning signs of Sudden Cardiac Arrest?
Revised February 2015
Ø Fainting/blackouts (especially during exercise) Ø Dizziness Ø Unusual fatigue/weakness Ø Chest pain Ø Shortness of breath Ø Nausea/vomiting Ø Palpitations (heart is beating unusually fast or skipping beats) Ø Family history of sudden cardiac arrest at age < 50 ANY of these symptoms/warning signs that occur while exercising may necessitate further evaluation from your physician before returning to practice or a game.
What is the treatment for Sudden Cardiac Arrest? Ø Ø Ø Ø
Time is critical and an immediate response is vital. CALL 911 Begin CPR Use an Automated External Defibrillator (AED)
What are ways to screen for Sudden Cardiac Arrest?
Ø The American Heart Association recommends a pre-‐participation history and physical including 14 important cardiac elements. Ø The UIL Pre-‐Participation Physical Evaluation – Medical History form includes ALL 14 of these important cardiac elements and is mandatory annually. Ø Additional screening using an electrocardiogram and/or an echocardiogram is readily available to all athletes, but is not mandatory.
Where can one find information on additional screening?
Ø The Cardiac section on the UIL Health and Safety website (uiltexas.org).
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Commotio Cordis â concussion of the heart that can occur from being hit in the chest. by a ball, puck, or fist. ⢠Myocarditis â infection/inflammation of the heart, usually caused by a virus. ⢠Recreational/Performance-Enhancing drug use. à Idiopathic: Sometimes the underlying cause of the Sudden Cardiac Arrest is unknown, ...
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