Cardiac arrest vs. heart attack: What is the difference?

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In conversations about heart health, terms like “cardiac arrest” and “heart attack” often surface, sometimes used interchangeably.

However, these conditions, while related to heart health, are not the same.

This review aims to clarify the differences between cardiac arrest and heart attack, providing insights into their causes, symptoms, and treatments, all in plain language for those not in the medical field.

The Heart of the Matter: What’s the Difference?

At the heart of understanding these conditions is recognizing the distinct mechanisms behind each. A heart attack occurs when blood flow to a part of the heart is blocked, usually by a clot.

This blockage prevents oxygen-rich blood from reaching a section of the heart’s muscle, causing it to become damaged or die if not promptly treated. The medical term for a heart attack is myocardial infarction, which literally means “death of heart muscle.”

In contrast, cardiac arrest is an electrical problem where the heart suddenly stops beating properly. Instead of pumping blood to the body and lungs, the heart’s electrical system malfunctions, causing an irregular heartbeat (arrhythmia).

With the pumping action disrupted, the heart cannot pump blood to the brain, lungs, and other organs. Seconds later, a person will lose consciousness and have no pulse. Without immediate treatment, this can quickly lead to death.

Causes and Symptoms: A Closer Look

Heart attacks are primarily caused by coronary heart disease (CHD). CHD is a condition where coronary arteries (the major blood vessels supplying the heart with blood) become clogged with deposits of cholesterol, known as plaques.

Over time, these plaques can narrow the arteries, reducing blood flow to the heart’s muscle. If a plaque ruptures, it can form a clot that blocks the flow of blood, triggering a heart attack.

Symptoms of a heart attack can vary but often include chest pain or discomfort that may spread to the shoulders, neck, arms, or jaw; chest tightness; shortness of breath; and nausea.

Importantly, heart attack symptoms can be immediate and intense, but they often start slowly, with mild pain or discomfort.

Cardiac arrest, on the other hand, can be caused by various factors, including arrhythmias, heart attacks, and other cardiovascular conditions. It can also occur with no known cause.

The most common arrhythmia leading to cardiac arrest is ventricular fibrillation, where the heart’s lower chambers quiver and cannot pump blood.

The onset of cardiac arrest is sudden and dramatic: a sudden loss of responsiveness, no normal breathing, and the absence of a pulse.

Unlike a heart attack, where most victims are awake and aware of their symptoms, a person experiencing cardiac arrest collapses and is unresponsive, requiring immediate medical intervention to survive.

Treatment and Prevention: Pathways to Health

The treatment for heart attacks focuses on restoring blood flow to the heart, often through medication that dissolves clots and through procedures that open up blocked arteries, like angioplasty and stenting. Lifestyle changes and medication can help manage risk factors such as high blood pressure, high cholesterol, and diabetes.

Cardiac arrest treatment is more immediate, with cardiopulmonary resuscitation (CPR) and the use of a defibrillator to shock the heart back into a normal rhythm being critical actions.

These are emergency measures, while long-term care may involve medication, lifestyle adjustments, and possibly an implantable cardioverter-defibrillator (ICD) to prevent future episodes.

Both conditions underscore the importance of understanding heart health, recognizing symptoms early, and knowing how to respond.

While they are not the same, cardiac arrest and heart attacks share a common thread: the critical need for swift action. Public education on performing CPR and using defibrillators, along with awareness of heart attack signs, can save lives.

In conclusion, while cardiac arrest and heart attack are linked to heart health, they are distinct conditions with different causes, symptoms, and treatments.

Understanding these differences is vital for effective response and treatment, highlighting the importance of heart health education and prompt medical care.

If you care about heart disease, please read studies about a big cause of heart failure, and common blood test could advance heart failure treatment.

For more information about heart health, please see recent studies about a new way to repair human heart, and results showing drinking coffee may help reduce heart failure risk.

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