|Classification according to ICD-10|
|I46.0||Cardiac arrest with successful resuscitation|
|I46.1||Sudden cardiac death, as described|
|I46.9||Cardiac arrest, unspecified|
|ICD-10 online (WHO version 2019)|
Cardiac arrest is a term used in medicine for no longer or no longer sufficiently beating heart . There are two different forms:
- The spontaneous cardiac arrest (with sudden collapse of the affected person) is triggered by ventricular fibrillation , asystole or electromechanical decoupling (for example, by a heart attack or electrical accident ), which causes cardiac arrest and leads to death if no cardiopulmonary resuscitation (resuscitation, in particular the chest compression ) is performed.
- The artificially induced ( induced or pharmacological ) cardiac arrest (cardioplegia) is triggered during an operation by injecting cardioplegic solution (or cardioplegic solution) into the coronary arteries . It reduces the oxygen demand of the heart muscle from approx. 10 to approx. 0.05 milliliters per 100 grams of heart tissue per minute and allows operations with great precision on the heart that is no longer beating (e.g. bypass surgery ). Cardioplegic solutions have different pharmacological compositions, usually contain a lot of potassium and magnesium and are used ice-cold (approx. 4 ° C). The function of the circulatory system is maintained by a heart-lung machine during artificial cardiac arrest .
event of cardiac arrest within 24 hours prior to admission to hospital, an additional code is given: U69.13! Cardiovascular arrest before admission to the hospital
- Renate Huch, Klaus D. Jürgens (ed.): Man - body - disease . 6th edition. Elsevier / Urban & Fischer, Munich 2011, ISBN 978-3-437-26792-5 .
- Stefan Latz: Crystalline cardioplegia according to Bretschneider versus blood cardioplegia according to Calafiore in coronary surgery . 2012 ( uni-bonn.de [PDF]).
- ↑ Ojan Assadian: Wundatlas: Compendium of complex wound treatment; 141 tables . Georg Thieme Verlag, 2006, ISBN 978-3-13-140832-7 ( limited preview in Google Book Search [accessed June 7, 2016]).
- ↑ Heiner Greten , Tim Greten, Franz Rinninger: Internal medicine . Georg Thieme Verlag, 2010, ISBN 978-3-13-162183-2 ( limited preview in Google Book Search [accessed December 6, 2016]).
- ^ Introduction to cardiac arrest . Gesundheitslexikon.com; accessed May 1, 2015
- ↑ Reinhard Larsen: Anesthesia and intensive medicine in cardiac, thoracic and vascular surgery. (1st edition 1986) 5th edition. Springer, Berlin / Heidelberg / New York a. a. 1999, ISBN 3-540-65024-5 , pp. 105 f. ( Cardioplegia ).
- ^ Frank Schön: Information cardio technology. ( Memento of the original from March 4, 2016 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice.
- ↑ S. Pretzsch, P. Müller, M. Stiller, R. Henning, H. Zorn: Standard of the extracorporeal circulation (PDF) in the Clinic for Cardiac and Thoracic Surgery of the University Hospital of the Martin Luther University Halle (Saale)
- ↑ ICD-10-GM 2020 (DIMDI)