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Published on: January 5, 2018
Cardiac arrests at the Cenotaph
M W H Behan1, M J Fenton, B Clapp
1Cardiothoracic Department, St Thomas' Hospital, Guy's and St Thomas' NHS Trust, London. milesbehan@hotmail.com
Three veterans experienced cardiac arrests during a 2005 Remembrance Parade but were resuscitated and received internal cardioverter defibrillators (ICDs). They remain well and plan to attend future ceremonies, highlighting the effectiveness of ICDs in managing stress-induced arrhythmias.
Area of Science:
- Cardiology
- Electrophysiology
- Public Health
Background:
- Emotional stress is a known trigger for cardiac arrhythmias.
- Sudden cardiac arrest (SCA) remains a critical concern, particularly in vulnerable populations.
- Internal cardioverter defibrillators (ICDs) are established treatments for preventing sudden cardiac death.
Purpose of the Study:
- To report on three cases of veterans experiencing cardiac arrest during a public event.
- To review the association between emotional stress and cardiac arrhythmias.
- To discuss the updated National Institute for Health and Clinical Excellence (NICE) guidelines for ICD implantation.
Main Methods:
- Case report of three individuals presenting with cardiac arrest.
- Review of existing literature on emotional stress and arrhythmias.
- Analysis of current NICE guidelines regarding ICDs.
Main Results:
- Three veterans successfully resuscitated following cardiac arrests at the 2005 Cenotaph Remembrance Parade.
- All patients received internal cardioverter defibrillators (ICDs) and are in good health.
- Patients plan to attend future Remembrance ceremonies, indicating successful management.
Conclusions:
- ICDs provide effective protection against potentially fatal arrhythmias triggered by emotional stress.
- Vigilance and appropriate device implantation are crucial for individuals at risk of stress-induced cardiac events.
- Adherence to updated clinical guidelines ensures optimal patient care and outcomes.
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