At Risk for Sudden. Arrest. Disease and. Overview CAN BE USED WITH DRY ERASE MARKER. A Comprehensive Resource from the Heart Rhythm Society

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1 Sm At Risk for Sudden Cardiac Arrest Disease and Treatment Overview A Comprehensive Resource from the Heart Rhythm Society CAN BE USED WITH DRY ERASE MARKER

2 A Comprehensive Resource from the Heart Rhythm Society SCA 360 provides a single, trusted resource for the most comprehensive and relevant information and education on Sudden Cardiac Arrest. Led by the most respected professionals and drawing from top experts, publications and other leading sources, SCA 360 helps cardiac arrhythmia professionals improve patient outcomes. SCA 360 is an initiative of the Heart Rhythm Society, the world s leading professional society committed to improving the care of cardiac arrhythmia patients by promoting science, education and optimal health care policies and standards. To learn more about SCA 360 or the Heart Rhythm Society, visit Sm

3 A Comprehensive Resource from the Heart Rhythm Society What is SCA 360 0? SCA Normal 360 Heart provides a single, trusted resource for the most 1 Electric System of the Heart 2 comprehensive and relevant information and education on Sudden Electric System of the Heart 3 Cardiac Arrest. Led by the most respected professionals and drawing Bradycardia 4 from Heart top Block experts, publications and other leading sources, SCA Atrial helps cardiac Fibrillation arrhythmia professionals improve patient outcomes. 6 Ventricular Tachycardia 7 SCA 360 is an initiative of the Heart Rhythm Society, the world s Ventricular Fibrillation 8 leading Heart Failure professional society committed to improving the care of 9 Implantable cardiac arrhythmia Cardioverter patients Defibrillator by promoting science, education and 10 Implantable Cardioverter Defibrillation Therapy 11 optimal healthcare policies and standards. To learn more about SCA Cardiac Resynchronization Therapy Device or the Heart Rhythm Society, visit Dual Chamber Pacemaker 13 Sudden Cardiac Arrest VS. Heart Attack 14 This information is not intended to cover all aspects of any medical condition. It is generalized and is not intended as specific medical advice. Those with questions or who need more information should check with their physician. HEART RHYTHM SOCIETY is a service mark of the Heart Rhythm Society. All Rights Reserved. Copyright 2008 Heart Rhythm Society. Sm

4 Normal Heart The normal heart has strong muscular walls that pump blood out of the heart. Right atrium Left atrium Left ventricle Right ventricle 1

5 Electric System of the Heart The SA node begins the normal heartbeat by producing an electrical signal. The p-wave represents the electrical activity in the atrium. SA node normal ecg AV node Bundle of his left bundle branch right bundle branch 2

6 Electric System of the Heart The signal travels from SA node, through the atria and to the AV node. It then passes through the bundle of His on its way to the ventricles. The QRS complex represents the electrical activity in the ventricles. SA node normal ecg AV node Bundle of his left bundle branch right bundle branch 3

7 Bradycardia Bradycardia is a slow heartbeat (less than 60 beats per minute). It can be caused by a slowly firing SA node. SA node bradycardia ecg normal ecg normal ecg 4

8 heart block Heart block is an arrhythmia in which electrical signals traveling from the atria to the ventricles are stopped or delayed. heart block ecg normal ecg Block 5

9 Atrial Fibrillation In atrial fibrillation, disorganized electrical pulses in the heart s upper chambers (atria) cause the rhythm of the lower chambers to be fast and irregular. Atrial Fibrillation ecg normal ecg Arrhythmia origin 6

10 Ventricular Tachycardia In ventricular tachycardia, abnormal electrical pulses in the heart s lower chambers (ventricles) disrupt the normal firing of the SA node causing the heart to beat rapidly. Ventricular Tachycardia ecg normal ecg Arrhythmia origin 7

11 Ventricular Fibrillation In ventricular fibrillation, disorganized electrical pulses in the heart s lower chambers (ventricles) cause the ventricles to quiver uselessly instead of pumping blood. Ventricular Fibrillation ecg normal ecg Arrhythmia origin 8

12 Heart Failure Heart failure is a condition that affects the heart muscle. Over time, the heart muscle weakens. Often, bundle branch block can occur with heart failure. In this condition, electrical signals do not pass through the bundle branches at the normal rate. Bundle Branch Block ECG normal ecg Bundle Branches Block 9

13 Implantable Cardioverter Defibrillator An Implantable Cardioverter Defibrillator (ICD) is a battery-powered device placed under your skin. It is connected to your heart by one or more wires (leads) and regulates your heartbeat. Pulse generator Atrial lead Ventricular lead 10

14 Implantable Cardioverter Defibrillation Therapy If the Implantable Cardioverter Defribrillator (ICD) senses ventricular fibrillation, the device will deliver a shock to restore normal sinus rhythm. Ventricular fibrillation Normal Arrhythmia origin 11

15 Cardiac Resynchronization Therapy Device A Cardiac Resynchronization Therapy (CRT) device is a battery-powered device that sends electrical signals to the right and left ventricles to help it beat in a synchronized manner. Pulse generator Atrial lead Ventricular leads 12

16 Dual Chamber Pacemaker A dual chamber pacemaker is a battery-powered device that sends electrical signals to your heart to help synchronize the beat of the upper chamber (atrium) and lower chamber (ventricle). pacemaker Atrial lead Ventricular lead 13

17 Sudden Cardiac Arrest VS. Heart Attack Blockage no blood flow PLaque Arrhythmia origin Area of blocked blood flow Sudden Cardiac Arrest An Electrical Problem During sudden cardiac arrest, abnormal electrical signals become chaotic causing the heart to quiver. Blood does not reach the body s vital organs or the brain. Heart Attack A Plumbing Problem During a heart attack, a coronary artery becomes blocked preventing blood from reaching the muscle of the heart. This can cause muscle tissue damage or death. 14

18 SM 1400 K St NW suite 500 Washington, DC tel (202) fax (202) A Comprehensive Resource from the Heart Rhythm Society

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