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Cardiac arrest (also known as sudden cardiac arrest [SCA] [11]) is when the heart suddenly and unexpectedly stops beating. [ 12 ] [ 1 ] When the heart stops beating, blood cannot properly circulate around the body and the blood flow to the brain and other organs is decreased.
Feb. 13—Sweating, nausea, dizziness and unusual fatigue may not sound like typical heart attack symptoms. However, they are common for women and may occur more often when resting or asleep.
Given the demographics of SCAD, it is important to maintain a high index of suspicion for the condition in otherwise low-risk women presenting with symptoms of acute coronary syndrome. Initial evaluation may show ECG changes of ST elevation, like heart attacks due to other causes. SCAD comprises 2-4% of all cases of acute coronary syndrome. [14]
About 30% of people have atypical symptoms. [8] Women more often present without chest pain and instead have neck pain, arm pain or feel tired. [11] Among those over 75 years old, about 5% have had an MI with little or no history of symptoms. [12] An MI may cause heart failure, an irregular heartbeat, cardiogenic shock or cardiac arrest. [3] [4]
Another emergency that can lead to cardiac arrest, commotio cordis, is a disruption of heart rhythm after a blow to the area directly over the heart at a key time during a heartbeat cycle.
Researchers analyzed data from 259 women and 996 men in the Netherlands who survived at least 30 days after a cardiac arrest that took place outside a hospital between 2009 and 2015.
Heart disease in women goes undetected prior to a major cardiac event in up to 60% of cases. [19] Among women who experience a heart attack, many do not have any prior chest pain. [19] Due to alterations in sensory pathways, diabetic and elderly individuals also may present without any chest pain and may have atypical symptoms similar to those ...
Symptoms of the acute coronary syndromes are similar. [8] The cardinal symptom of critically decreased blood flow to the heart is chest pain, experienced as tightness, pressure, or burning. [9] Localization is most commonly around or over the chest and may radiate or be located to the arm, shoulder, neck, back, upper abdomen, or jaw. [9]