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In the first few minutes after the onset of sudden cardiac arrest, the patient may demonstrate agonal gasps, which are not adequate breathing.
With in-hospital sudden cardiac arrest (SCA), there is insufficient evidence to support or refute CPR before defibrillation.
Implanted Pacemaker Patients known to be at high risk for sudden cardiac arrest may have implanted defibrillators/pacemakers that automatically deliver shocks directly to the heart muscle if a life-threatening arrhythmia is detected.
Early defibrillation is critical to survival from SCA.
A common initial rhythm in out-of-hospital witnessed SCA is VF, the treatment for which is defibrillation.
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