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Comparison of Heart Attack & Cardiac Arrest

People often use these two terms interchangeably, but they’re not the same thing at all. A heart attack happens when a blood clot or plaque buildup blocks the flow of blood to part of the heart muscle. The heart usually keeps beating, and the person is often conscious  though they may feel chest pain, shortness of breath, sweating, nausea, or pain radiating into the arm or jaw. Cardiac arrest is a different beast entirely. It’s an electrical malfunction that causes the heart to stop pumping altogether, leading to sudden collapse, unconsciousness, no pulse, and breathing that’s either abnormal or absent. Here’s the connection worth remembering: a serious heart attack can sometimes trigger the rhythm disturbance that leads to cardiac arrest. Both are emergencies, no question. But cardiac arrest is the one where every second counts ,CPR and an AED, if one’s nearby, can be the difference between life and death.

Features
Heart Attack
Cardiac Arrest
Medical Definition
Blocked blood flow damages the heart muscle
The heart suddenly stops beating effectively
Main Problem
Circulation (blocked artery)
Electrical malfunction of the heart
Cause
Coronary artery blockage due to plaque or clot
Abnormal heart rhythm (arrhythmia), ventricular fibrillation, severe heart disease
Does the Heart Beat?
Usually yes
No, or not effectively
Is the Person Conscious?
Usually awake initially
Usually unconscious within seconds
Pulse
Usually present
No pulse
Breathing
Usually breathing, may be short of breath
No normal breathing or only gasping
Common Symptoms
Chest pain, sweating, nausea, arm pain, jaw pain
Sudden collapse, unconsciousness, no pulse
Emergency Response
Call emergency services immediately and reach a hospital
Call emergency services immediately, begin CPR and use an AED if available
Treatment
Angioplasty, stent, clot-dissolving medicines, medications
CPR, defibrillation (AED), advanced cardiac life support
Can One Cause the Other?
Yes. A severe heart attack can trigger cardiac arrest.
Cardiac arrest is sometimes the result of a heart attack.
Survival Depends On
How quickly blood flow is restored
How quickly CPR and defibrillation begin

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