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Freezing Hearts Back to Health

Critical Care Physicians Induce Hypothermia After Cardiac Arrest to Save Patient Lives

August 1, 2009

Critical care physicians are using techniques to induce hypothermia in patients just after a cardiac arrest. A cold saline solution is injected into the patient's arm and circulates throughout their body. Meanwhile the patient lies down on a special chilled pad to help the body maintain this cooler temperature. This 24-hour process reduces the body temperature to 90 degrees Fahrenheit, reducing swelling, slowing metabolism and thus decreasing the amount of brain damage that may occur.

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Science Insider

WHAT IS ARRHYTHMIA? An arrhythmia occurs when the heart beats too fast, too slow, or irregularly. This keeps the heart from pumping blood properly. Normally, the heartbeat starts in the right atrium, when a special group of cells (the "pacemaker" of the heart) sends an electrical signal causing the muscles to contract. These signals travel through connecting fibers to all parts of the ventricles, and must follow the exact route in order for the heart to pump properly. There are many types of arrhythmia, identified by where they occur in the heart (in the atria or ventricles), and by what happens to the heart's rhythm when they occur. One example is atrial fibrillation, an irregular heartbeat that interferes with the heart's ability to pump blood. Abnormal electrical signals cause the atria, or upper chambers of the heart, to contract erratically. Blood then pools in the atria and forms clots. These can travel to the brain and cause a stroke. The most serious arrhythmia is ventricular fibrillation, where the lower chambers quiver and the heart can't pump any blood. This results in collapse and sudden death -- if there isn't immediate medical attention.

FREEZING THE HEART: One way to prevent arrhythmias is to locate the areas of the heart responsible for the problem and freeze them to kill the tissue. Doctors use a catheter loaded with a super-cold solution, and touch it to spots where the electrical signals are thought to be faulty. Doctors can test to see that it has worked, and thaw the tissue if they froze the incorrect spot. If it is working, they cool the probe even more, and kill the tissue.

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To Go Inside This Science:
Lara Lindsay, Public Affairs
Ohio Health Network
614-406-7619
llindsay@ohiohealth.com


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