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Multiple cardiac arrests be the reason behind the sudden demise of former CM of Delhi Mrs. Sheila Dikshit at the age of 81. Her last breath on 20th July at 3:55 pm was at Fortis Escorts Heart Institute, in Delhi.

Certain cardiac arrests followed her way since a year or two now. Being well a day before and waking up with breathlessness was the initial symptom noticed by Sheila Dikshit on Saturday morning, after which she was admitted to Fortis. She was in critical condition with Cardiac Arrhythmia, said the doctor.

The unfortunate demise of Mrs. Sheila Dikshit has shaken the roots of Delhi. Many renowned politicians offered condolences on her demise. Current CM Mr. Arvind Kejriwal said Dikshit's death is a huge loss for Delhi and her contribution will always be remembered.

Let's know more about Sudden Cardiac Arrest!

Blocked arteries stop oxygen-rich blood from reaching the heart chamber and cause a heart attack. In case the blockage is not removed, it can kill the artery taking blood to the heart, which can stop the nourishment of the heart chamber.

A heart attack may have immediate and intense symptoms, which initiate slowly and can last for hours to days in some situations. But in case of Sudden Cardiac Arrest, the heart stops beating at once.

What is Sudden Cardiac Arrest (Arrhythmia)?

A sudden arrhythmia (irregular heartbeat) complications faced by heart causing breathlessness due to an electrical malfunction of the heart is a reason behind Sudden Cardiac Arrest. The interrupted blood flow to the brain, lungs and other organs makes a person unconscious and lose pulse.

Causes of Cardiac Arrest -

Ventricular Fibrillation - On inefficient pumping of blood by lower chambers of the heart called ventricles, leads to abnormal blood flow and finally no blood flow in the body causing a sudden heart attack.

Atrial Fibrillation - The upper two chambers of the heart called atria stops beating after an arrhythmia. The SA node (sinoatrial) located on the right atrium doesn't send proper electrical impulses, which regulates the flow of blood in the body. During atrial fibrillation, ventricles don't pump blood leading to sudden cardiac arrest.

Symptoms of Sudden Cardiac Arrest -

Dizziness

Shortness of breath

Fatigue

Nausea

Palpitation

Chest Pain

Pulse loss

Sudden Collapse

Risks of Sudden Cardiac Arrest -

Coronary Heart Disease

Irregular Heart Valves

Congenital Heart Disease

Smoking

Obesity

High blood pressure

Family history of heart disease

Substance abuse

Emergency treatment -

CPR in case of sudden cardiac arrest can be helpful as it aims at delivering oxygen-rich blood to all vital organs of the body before any other treatment can be initiated.

Are you experiencing irregular and fluctuating heartbeats? Is your heartbeat too fast or too slow? If yes, then it signifies that you are suffering from arrhythmias or abnormal heart rhythms. This is a disorder which affects the heart rate or heart rhythm and the heartbeat becomes irregular.

Causes of abnormal heart rhythms
Arrhythmias occurs due to problems with the electrical conduction system of the heart. In this case, abnormal signals might occur; the electrical signals might get blocked or slowed down, or the electric signals may travel in different paths throughout the heart. Abnormal heartbeats are commonly caused by the following:

Abnormal potassium levels in the body
Heart attacks or due to a damaged heart muscle, owing to a previous heart attack
Inborn heart diseases
Cases of an enlarged heart and heart failure
Overreaction of the thyroid gland
Several other substances or medicines may lead to arrhythmias, such as alcohol, stimulant drugs, caffeine, nicotine, and antidepressant medicines or blood pressure medicines.
Common symptoms of this condition apart from irregular heartbeat patterns include chest pain, fainting, dizziness and light-headedness, trouble in breathing and paleness.

Diagnosis of abnormal heart rhythms
For the diagnosis of arrhythmias, your doctor will use a stethoscope to listen to your heartbeat. Several health monitoring devices are used to detect abnormal heart rhythms. These include the Holter monitor and the event monitor, or a loop recorder.

Other diagnosis tests which are required to be carried out include coronary angiography, ECG or electrocardiogram, and an echocardiogram. A test known as an electrophysiology can be undertaken for getting a closer look at the electrical system of the heart.

Treatment for abnormal heart rhythms
When a case of arrhythmias is severe, urgent treatment is required for restoring the heart s rhythm to normal. The different forms of treatment are as follows:

Electrical shock therapy such as defibrillation or cardioversion
Implanting of a heart pacemaker for a short term
Certain medications which are given through the veins or orally
A group of medicines known as anti-arrhythmic drugs is used for the prevention of recurrence of the condition and to keep the heart rate from fluctuating continually.
Cardiac ablation may be carried out for destroying some areas in the heart from where the rhythm problems are caused.
An implantable cardiac defibrillator is used in people who are at a risk of facing cardiac death.
In case you experience abnormal heart rhythm, you must consult a doctor immediately. You should only start taking medicines and follow a treatment after it has been recommended by a doctor.

A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia. When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.

Help

Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person s life.

Call a Doctor

The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.

CPR

After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.

If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.

Use an Automated External Defibrillator (AED)

If an AED is available, place the electrode pads on the person s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart.

A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia.

When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.

Help

Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person s life.

Call a Doctor

The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.

CPR

After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.



If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.

Use an Automated External Defibrillator (AED)

If an AED is available, place the electrode pads on the person s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart.

What is Heart Arrhythmias?

An arrhythmia is a problem with the rate or rhythm of the heartbeat. Heart arrhythmias are often harmless. Most people have occasional, irregular heartbeats that may feel like a fluttering or racing heart.

Symptoms of Heart Arrhythmias-

A fluttering in your chest
A racing heartbeat
A slow heartbeat
Irregular pulse
Fatigue
Chest pain
Shortness of breath
Lightheadedness
Dizziness
Fainting
Causes of Heart Arrhythmias-

Scarring of heart tissue
Changes to your heart s structure, such as from cardiomyopathy
Blocked arteries in your heart
High blood pressure
Diabetes
Hyperthyroidism
Smoking
Drinking too much alcohol or caffeine
Drug abuse
Mental Stress
Medications

Risk factors of Heart Arrhythmias-

Coronary artery disease
Previous heart surgery
High blood pressure
Thyroid problems
Congenital heart disease
Obstructive sleep apnea
Drinking too much alcohol
Diabetes
Obesity
Caffeine or nicotine use
Complications of Heart Arrhythmias-

Stroke
Heart failure
Diagnosis of Heart Arrhythmias-

Diagnosis of Heart Arrhythmias involves the following tests:

Electrocardiogram
Holter monitor
Event monitor
Stress test
Echocardiogram
Cardiac catheterization
Electrophysiology study (EPS)
Head-up tilt table test
Precautions & Prevention of Heart Arrhythmias-

Eat vegetables and fruits, fish, and plant sources for protein
Avoid saturated and trans fats
Control your cholesterol and high blood pressure
Quit smoking
Maintain your weight
Get regular exercise
Treatment of Heart Arrhythmias-

Homeopathic Treatment of Heart Arrhythmias
Acupuncture & Acupressure Treatment of Heart Arrhythmias
Psychotherapy Treatment of Heart Arrhythmias
Conventional / Allopathic Treatment of Heart Arrhythmias
Surgical Treatment of Heart Arrhythmias
Dietary & Herbal Treatment of Heart Arrhythmias
Other Treatment of Heart Arrhythmias
Homeopathic Treatment of Heart Arrhythmias-

Homeopathy is very effective and safe option of treating heart arrhythmia. Homeopathy has role in prevention of heart disease and in the management of patients after heart attack. Homeopathic medicines can control and prevent various causes of heart arrhythmia. Some of the homeopathic medicines for treatment of heart arrhythmia are:

Ars alb
Nat M
Crataeg
Digitalis
Ox ac
Acupuncture & Acupressure Treatment of Heart Arrhythmias-

Heart arrhythmias are either due to not enough Qi (energy) or too much Qi causing the heart to beat irregularly. There are many acupuncture points which can help either supplement the heart s Qi or help reduce it to help balance your condition.

Conventional / Allopathic Treatment of Heart Arrhythmias-

Many types of tachycardias respond well to anti-arrhythmic medications. Some medications can slow down your heart so much that you may need a pacemaker. It s very important to take any anti-arrhythmic medication exactly as directed by your doctor, in order to avoid complications.

Surgical Treatment of Heart Arrhythmias-

Surgical Treatment of Heart Arrhythmias involves the following procedures:

Maze procedure
Ventricular aneurysm surgery
Coronary bypass surgery
Dietary & Herbal Treatment of Heart Arrhythmias

Eat small, frequent meals
Limit cholesterol in diet
Avoid fad diets
Reduce salt in your diet
Eat enough dietary fiber
Eat plenty of fresh fruit and vegetables

A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia. When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.

Help

Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person s life.

Call a Doctor

The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.

CPR

After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.

If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.

Use an Automated External Defibrillator (AED)

If an AED is available, place the electrode pads on the person s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart.

Cardiac problems are very scary and what is more scary is choosing the top cardiologist in Delhi. There are so many cardiologist in Delhi and there are so many type of cardiologist depending on their area of specialization. Clinical cardiologists, adult cardiologist, paediatric cardiologist.

There are few cardiologist who specialize in procedures like electrophysiology, echocardiography, and interventional procedures such as stent placement and balloon angioplasty. Cardiologist are specialized in diagnosing any kind of disorder or dysfunctioning of heart and can perform minimally invasive surgeries like pacemaker implantation.

Here is the list of top 10 cardiologist in Delhi, who are specialized and experts at treating all kind of heart problems:

1. Dr. Anupam Goel

MBBS, MD (Gen. Medicine), DM (Cardiology)

Consultation fees: 1000

Dr. Anupam Goel is a senior Interventional Cardiologist. She is currently associated with Max Super Speciality Hospital, Saket. She has an experience of 25 years in this field. She has done several fellowships in cardiology and is engaged in the academic training, CMEs and as principal clinical investigator at various national and international levels. Her areas of expertise are: Percutaneous Coronary Angioplasty and Stent Implantation, Primary Angioplasty in Acute Myocardial Infarction, Acute Coronary Care, Clinical Cardiology and Coronary Angiography and Angioplasty via Radial Artery Route.

2. Dr. Nitin Kumar

CCT - Cardiology (UK), MRCP (UK), FHEA (UK), MBBS

Consultation fees: 800

Dr Nitin Kumar is a consultant cardiologist with 16 years of national and international experience. He is currently affiliated with Express clinic, Delhi and CREDENCE Super specialty Clinic in Gurgaon. His area of specialisation are transradial interventions (angiography and angioplasty through the wrist), treating acute heart attacks by Primary Angioplasty, management of acute coronary syndromes, complex angioplasty including bifurcation lesions, Intravascular imaging including IVUS and OCT, Fractional Flow Reserve assessment (FFR study) and Rotablation.

3. Dr. Rajiv Agarwal

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology

Consultation fees: 500

Dr Rajiv Agarwal is a Senior Interventional Cardiologist and currently works at Max Smart Super Speciality hospital as Senior Director and Unit Head, Department of Cardiology. He has 33 years of experience. His areas of interest are Coronary Interventions & Valvuloplasty, Electrophysiology Study, Device Implantation (including Combo device), Device closures and Peripheral Interventions and also including Bronchial and Renal Artery Embolization. He has been awarded several national and international awards for his contribution in the field of cardiology.

4. Dr. R. R. Mantri

DNB (Cardiology), DM - Cardiology, MD - General Medicine, MBBS

Consultation fees: 1000- 1500

Dr. RR Mantri is a very reputed name in his fraternity. He is currently working as Director Cath Lab & Cardiac Arrhythmia Services, Department of Cardiology, Sir Ganga Ram Hospital, New Delhi. He has experience of more than 35 years as Interventional Cardiologist, Diabetologist and Electrophysiologist. His areas of clinical interest are treating patients suffering from congenital heart diseases, cardiovascular diseases, cardiac valve diseases, hypertension, artery blockages, heart failure, high cholesterol, diabetes due to obesity. He is a pioneer in Transradial Angiography in India.

5. Dr. Anil Saxena

DNB Cardiology, MD - Internal Medicine, MBBS

Consultation fees: 1000

Dr. Anil is currently practicing as Director, Cardiac Pacing & Electrophysiology at Fortis Hospital, Okhla. His areas of clinical interest are Electrophysiologic Study, Catheter RF Ablation of complex arrhythmias, 3D Mapping of Cardiac Arrhythmias with CARTO and Ensite, Implantation of Permanent Pacemakers, Implantation of ICD, Implantation of Biventricular pacemakers (CRT). Implantation of CRT-D (Combo Device), Lead Extraction and Coronary Angiography. He is not only member of some reputed national and international organisations, but also recipetents of many awards.

6. Dr. Viveka Kumar

DM - Cardiology, MD - General Medicine, MBBS

Consultation fees: 1000

Dr. Viveka Kumar has 29 years of practice in the field of Cardiac interventions and Electrophysiology. In years of his practice he has done more than 7500 angioplasties and 2500 balloon valvotomy. He has also handled some complex cases of angioplasties. He is considered to be a pioneer of using advanced technologies like bifurcation and left main angioplasties with Rota Ablation. He has special interest in clinical research and has been associated with principal investigator or a sub-investigator in more than 14 national and international trials.

7. Dr. Ripen Gupta

MBBS, MD - Medicine, DM - Cardiology

Consultation fees: 1000 -1200

Dr. Gupta has 26 years of experience and is considered to be one of the most reputed cardiologists of Delhi. He was the first cardiologist to be awarded the Postdoctoral Fellowship of National Board in Interventional Cardiology instituted by National Board of Examinations. His areas of specializations are treatment of arrhythmia, coronary artery disease and dyslipidemia. He currently practices at Max super speciality, Saket and Dr Ripen Gupta's Clinic, Vasant Kunj, Delhi.

8. Dr. Rajneesh Jain

DM - Cardiology, MD - Internal Medicine, MBBS

Consultation fees: 1500 -2000

Dr. Rajneesh Jain is amongst the most experienced and best cardiologist in Delhi. In 35 years of practice he has handled and treated some very complicated cases of adult cardiac catheterization, angiography, and acute coronary emergencies. Some of other specializations are peripheral angiograms and angioplasty, percutaneous balloon valvuloplasty of all valves, permanent pacemaker implantation. He is currently associated with Sir Ganga Ram Hospital, Delhi.

9. Dr. Nishith Chandra

DM Cardiology

Consultation fees: 1000 -1500

Dr. Chandra, is currently working as a director interventional cardiology, at Fortis Escorts Heart Institute & Research Centre, New Delhi. In his 21 years of practice he is a famous and reputed name in the field. His areas of core interest and specialization are complex coronary interventions including Rotablation, Carotid Interventions, Balloon Valvotomies and Peripheral Vascular Interventions. One of his greatest accomplishment is setting up the Air Ambulance Unit of Escorts Heart Institute that has helped in treating more than 300 critically cases.

10. Dr. Rajiv Bajaj

MBBS, MD - Internal Medicine, DM - Cardiology

Consultation fees: 500

Dr. Rajiv Bajaj is currently associated with Batra Hospital, Delhi. He has experience of 38 years and is amongst the eminent doctors in the field of cardiology. He has performed numerous coronary angioplasties, more than 200 electrophysiology studies and 100 ablations including VT and flutter ablations in adults and pediatric population. His areas of interest are Coronary angioplasty, cardiac catheterization in permanent pacemaker implantations, electrophysiology, echocardiography.

A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia. When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.

Help

Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person s life.

Call a Doctor

The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.

CPR

After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.

If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.

Use an Automated External Defibrillator (AED)

If an AED is available, place the electrode pads on the person s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart.

Bradycardia commonly seen in healthy active person.

Having bradycardia implies that your heart beats very slowly. For the vast majority, a heart beats from sixty to hundred pulses a minute while very few are viewed as ordinary. In case your heart beats under sixty times each minute, it is slower than usual. A moderate heart rate can be ordinary and solid. On the other hand it could be an indication of an issue with the heart's electrical framework.

For a few people, moderate heart rate does not create any issues. It can be an indication of being exceptionally fit. Sound youthful grown-ups and sports persons frequently have heart rates of fewer than sixty beats a minute. In other individuals, bradycardia is an indication of an issue with the heart's electrical framework. It implies that the heart's regular pacemaker isn't working right or that the electrical pathways of the heart are disturbed.

A moderate heart rate may make you:

Feel blurry eyed or woozy.
Feel short of breath and feel that it s harder to work out.
Feel tired.
Have neck pain or an inclination that your heart is beating or rippling (palpitations).
Feel bewildered or experience difficulty concentrating.
Black out, if a moderate heart rate causes a drop in pulse.
A few people do not have side effects, or their indications are mild to the point that they think they are quite recently part of getting more seasoned. You can discover how quick your heart is beating by checking your heart rate. In case your pulse is moderate or uneven, talk to a specialist.

How bradycardia is dealt with depends on what is causing it. Treatment likewise relies on symptoms. Given below are some of the symptoms:

In case harm to the heart's electrical framework causes your heart to pulsate too quickly, you will presumably need a pacemaker. A pacemaker is a gadget put under your skin that revises the moderate heart rate. Some people might have a kind of bradycardia that requires a pacemaker.
In case another medical issue, for example, hypothyroidism or an electrolyte irregularity, is bringing about a moderate heart rate, treating that issue may cure the bradycardia.
In case a medicine is making your heart to pulsate too gradually, your specialist may change the dosage or recommend an alternate drug. In case you can't quit taking that medicine, you may require a pacemaker.
Bradycardia is frequently the aftereffect of another heart condition, so finding a way to carry on with a heart-solid way of life will enhance your general health. This may include:

Showing at least a bit of restraint and dedication to a good diet routine that includes a considerable amount of organic products, vegetables, whole grains, fish, and low-fat or nonfat dairy foods.
Being gradually on most, if not all, days of the week. Your specialist can let you know what type of exercise is okay for you.
Getting more fit in case you have to, and maintaining a solid weight.
Not smoking.
Overseeing other medical issues, for example, hypertension or elevated cholesterol.