Hi, just a question someone asked when teaching defib on this side of the pond, and wondered if the guys on that side of the pond had an answer.  for survival when defib is used, does it make a difference as to what part of the heart is affected during the SCA?

Bryn

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does it make a difference as to what part of the heart is affected during the SCA?

The reason for defib is because of fibrillation. The reason for fibrillation could be anything to create a disturbance in the electical system of the heart. This could be from a clot/blockage, a weakened muscle, an abbarant electrical pathway, an electrical interruption because of a trauma, quick hit to the chest, etc. There are a number reasons as to why a heart would fibrillate.

The key to survival is how quickly the fibrillation can be stopped and heart re-booted (defib), it also depends upon the age of the pt and their health. So in the end, does it really make a difference as to what part of the heart was affected? Not really. If they live, they will undergo tests etc to determine as to why the heart fibrillated and to prevent a similar occurance. If they die, then an autopsy may show why the heart fibrillated. Those really are the only two alternatives you have when the heart fibrillates.
Many thanks fellas, I suspected that it would not matter, but went into the good tutor mode and did not waffle (guess make it up) So gave the good staff answer, "I dont know but will find out"! Once again many thanks

Bryn

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