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Sudden Cardiac Arrest May Not Be So Sudden
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Sudden cardiac arrest, a condition that occurs when the heart unexpectedly stops beating, kills more than 300,000 Americans each year. Previously, the condition was believed to strike without warning, but a new study from the Annals of Internal Medicine suggests otherwise.
“We used to think there were no symptoms. This study shows that may not necessarily be true,” says Baran Kilical, MD, cardiologist and electrophysiologist with Anne Arundel Medical Group Cardiology Specialists. “The study suggests people may have slight warning signs, such as chest pain and shortness of breath. It’s important to recognize symptoms and seek help.”
Symptoms of a heart attack and cardiac arrest are similar, but they are very different conditions.
“Even 18-year-olds can experience sudden cardiac death,” explains Dr. Kilical. “Unlike a heart attack where arteries are blocked, sudden cardiac arrest is an electrical problem. If there’s an electrical short circuit the heart is quivering instead of squeezing. This means it isn’t pumping blood to the brain and other vital organs. That’s how death occurs.”
The study included more than 800 people who survived cardiac arrest. About 50 percent of men and 53 percent of women reported at least some warning signs before their hearts stopped. Only 19 percent say they sought emergency treatment. In addition to chest pains and shortness of breath, some patients reported heart palpitations and flu-like symptoms.
“When in doubt, if it’s something that’s unusual for you, it’s worth a phone call,” says Dr. Kilical. “It’s best not to play Dr. Google at home. Call your doctor or 911 and ask about it.”
Listen to the full interview with Dr. Kilical on WTOP radio.
Learn more about the difference between heart attack and cardiac arrest.
Contributor
Baran Kilical, MD, is a board-certified cardiologist and cardiac electrophysiologist with AAMG Cardiology Specialists. To reach his office, call 410-897–0822.
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Heart Care
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What’s the difference between a cardiac surgeon and cardiologist?
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A cardiologist can diagnose and treat many heart conditions, but if you require surgery, your cardiologist will refer you to a cardiac surgeon. Below, Cardiothoracic Surgeon Murtaza Dawood, MD, explains some of the differences between a cardiac surgeon and a cardiologist.
Is a cardiac surgeon also a cardiologist?
No, a cardiologist receives medical training while a cardiac surgeon receives surgical training. If you need surgery, a cardiac surgeon will be involved before, during, and immediately after your surgery. In many cases, once you have recovered, you will not need to continue to follow up with your surgeon. Your cardiologist will follow your path before and after surgery to help manage your condition, and will continue to follow up with you in the long term. For example, a cardiologist can diagnose heart disease and work on managing the disease through medication and lifestyle changes. The surgeon, on the other hand, surgically corrects the issue.
Why would I need a cardiac surgeon if I already have a cardiologist?
Cardiac surgeons work with your cardiologist to improve an abnormality or a disease process that needs surgery. Some examples of why you need a cardiac surgeon could be heart disease requiring a coronary artery bypass surgery (CABG), severe heart valves disease, or pathologies of the aorta. To get the full benefit of the surgery, you may have to take medications or make a lifestyle or diet change. In this case, your cardiac surgeon and cardiologist will work together to help you reach your goals.
What procedures do cardiac surgeons do?
Cardiac surgeons can fix many issues such as blocked heart vessels, congenital or degenerative valve diseases, diseases of the aorta, and tumor or mass removal involving the heart. Cardiac surgeons can also perform surgeries in emergencies, such as heart injury from trauma.
If I have a blockage, can I get a stent instead of surgery?
An interventional cardiologist can use stents, which are delivered by catheters in your artery of the arm or leg, to reach the vessels of your heart causing the blockages. However, some blockages will require surgery as it could provide a better or more durable treatment, especially if you have multiple blockages. For example, some blockages could be in areas that are difficult to open with a stent. In other situations, a combination of stents and surgery can treat a blockage. Keep in mind that fixing a blockage does not solve the underlying problem that lead to the blockage, so it is possible to require stents after surgery or vice versa. Talk to your provider about decreasing your risk for future blockages.
Authors
Murtaza Dawood, MD is an experienced cardiothoracic surgeon who is recognized for performing operations for complex valve disease and atrial fibrillation. He is known for treating mitral valve regurgitation as well as aortic valve disease.
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Patient Stories
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AAMC volunteers paint a mural with a message
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It’s past 9 am on Friday, Aug. 2. Three teenagers wearing AAMC volunteer t-shirts stand in front of a blank wall covered in navy blue paint. They’re chatting back and forth, exchanging ideas they’re excited about – like where they’re going to paint a polar bear or a penguin. They pull out their cell phones, scroll through Google Images and quickly regroup to discuss.
“I’ll start with the mountains,” says Janine Avante.
Janine is working with Jayden Harrold and Caitlin Doherty on painting AAMC’s latest tunnel mural. Janine and Jayden learned about the opportunity while volunteering at the hospital. They shared the opportunity with their friend Caitlin. The team of artists are working on beautifying one of the pastel walls near the IS Help Desk office.
But it’s not all about embellishment. The mural carries a message.
“We had the idea to pay tribute to the environment because it’s something we need to be more aware of,” says Janine, while she starts to sketch an outline of tall mountains on the wall. “Our schedules at school are usually filled with music classes, so when we learned about this opportunity, we thought it would be cool because we never really get the chance to do art like this.”
This project is part of their Performing and Visual Arts Internship through Broadneck High School, where they are all ascending seniors. Janine and Jayden are in orchestra. Caitlin is in band.
Jayden drafted the mural sketch at home prior to painting the wall. “When employees walk down the hallway, I hope they think about how the work they do here affects everyone everywhere and continue to take care of the environment,” he explains.
An hour goes by and the wall is covered with several outlines. Jayden is standing on a stool painting green brush strokes on the upper left of the wall to portray the Aurora Borealis. Janine is in the middle using a white pencil to sketch the Rocky Mountains. Caitlin is standing on the far right of the mural detailing the snow on each mountain peak.
“Some employees walking by already told us they like how different this wall is from the rest,” says Caitlin. “We hope to bring environmental awareness because denying that we need to take care of it won’t make the problems go away,” she adds. “Awareness and acknowledgement is the first step.”
The volunteers hope to complete the mural by the end of the month.
Know someone interested in becoming a student volunteer? AAMC offers a variety of volunteer opportunities and internships for students who are looking for real-world, hands-on job training.
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Women's Health
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It’s time we call domestic violence by its name
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In 2017, many of us anxiously followed headlines and reports on social media for news of missing Howard County teacher Laura Wallen, only to be saddened at the news of her death. While the public waited and hoped for Laura Wallen’s safe return home, Prince George’s County resident Andrea Grinage was attacked in her apartment and set on fire.
What did these women have in common? They were both pregnant and victims of intimate partner violence — or domestic violence.
Although these and similar stories frequently report the fact that the suspect is a current or former partner, there is all too often no mention of domestic violence. This very subtle omission is an indication of continued misconceptions about what domestic violence is and who is most at risk.
The fact is, over half of all female homicides are in relation to domestic violence. Equally disturbing, as many as 300,000 pregnant women experience some form of domestic violence each year. Undoubtedly, the most dangerous time for women in abusive relationships is when they are attempting to leave an abusive partner and during or just after pregnancy. As in the case of Andrea Grinage and Laura Wallen, these frightening facts hold true.
READ MORE: When words hurt: Another kind of domestic violence
The media’s omission of domestic violence, to not call it out by name, illustrates the stigma and misconceptions that still surround this issue. Chances are, if you are a woman and have not experienced domestic violence yourself, you know someone (a sister, a mother, a co-worker, a neighbor) who has and you have seen the signs.
Domestic violence is a pattern of coercive behavior used by one person to gain power and control over another, usually a current or former intimate partner. Abuse can include physical abuse, verbal abuse and threats, sexual abuse, emotional abuse, isolation, stalking, coercive or controlling behavior and financial abuse.
This type of violence does not discriminate. It touches women in all walks of life. It transcends race and socioeconomic status.
Support of family and friends can often be vital to those impacted by domestic violence by diminishing the effects of isolation and feelings of hopelessness. Advocates trained in the dynamics of domestic violence can assist victims by screening and assessing risk, documenting injuries, creating safety plans, providing immediate crisis intervention, and referrals to professional counselors, safe shelter, and legal resources.
Unfortunately, the stories of so many women like Laura Wallen and Andrea Grinage reach our headlines when they result in tragedy. And even so, reports too often fail to mention domestic violence. It’s time this public health problem is called by its name, domestic violence.
Author
Amy J.N. Bosworth, Psy.D., is an abuse/domestic violence specialist at Anne Arundel Medical Center. Her email is [email protected].
Originally published Oct. 1, 2017. Last updated Aug. 13, 2025.
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