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Miracle on East 53rd Street
by Jimmy Moore I was working late as a
corporate attorney at a financial printer’s office in
Midtown Manhattan on June 8, 2005 when I suffered a sudden
cardiac arrest without warning. At the time, I was 27 years
old, an active athlete in otherwise good health, and it was
not my first late night working or studying. I do not
remember anything that happened for the next 36 hours, but
the following account of the aftermath of my sudden cardiac
arrest has been reported to me and confirmed by others who
were there.
Although I was alone in the room where I had been working, a
colleague in the adjacent room heard my chair fall and
rushed in to find me unconscious on the floor. Another
colleague, who was trained in administering CPR, began
performing chest compressions and rescue breaths, while yet
another colleague called "911". Within minutes, a security
guard from the building arrived with an automated external
defibrillator ("AED"). He applied the AED pads on my chest
as directed, and the AED administered an electrical shock
that recharged my heart.
I remained unconscious while the emergency responders
arrived and transported me to the emergency room at NYU
Medical Center. Meanwhile, a policeman had called my
girlfriend (now wife) to tell her what had happened. She
rushed to the hospital where she patiently answered the
doctors’ questions about my medical history. It was when she
informed one resident about my congenital hearing loss in my
left ear that the NYU staff began to see a possible
connection between my sudden cardiac arrest and the Jervell
and Lange-Nielson QT syndrome, a genetic heart defect that
is a type of Long QT affecting those who are
hearing-impaired. With this information, the NYU medical
staff knew how to treat my condition effectively. Two days
later, surgeons implanted an internal cardiac defibrillator
(“ICD”). Less than a week after my sudden cardiac arrest, I
was released from the hospital and ready to resume my life,
as mentally capable as I had been before my sudden cardiac
arrest and now equipped with an ICD to protect me in the
event that my heart should go into ventricular fibrillation
again.
What amazes me is the confluence of events and circumstances
that led to my survival and complete recovery. I was blessed
to have colleagues who were trained in CPR and capable of
taking quick action as they had been instructed. That I
received immediate CPR was critical to my full recovery
because the CPR enabled the continued flow of oxygen to my
brain. Even more important was the AED shock that I received
within minutes of my sudden cardiac arrest. I was incredibly
fortunate because the AED only recently had been installed
in the building, and the security guard only recently had
been trained in using the AED. Also, I was the happy
recipient of excellent medical care from the NYU medical
staff that I continue to enjoy, along with the benefits of
advanced medical technology.
My ICD is hardly noticeable and rests just under my skin
below my left shoulder. My ICD acts as a safeguard,
constantly monitoring my heart rate as my heart beats on its
own. In the event of cardiac arrhythmia, my ICD is designed
to regulate my heart rate, and in the event of ventricular
fibrillation, my ICD will administer a shock to restart my
heart. My ICD has yet to fire, and it may never fire, which
is a sign both of the effectiveness of the beta blockers
that I take every day and the explosiveness of Long QT.
Long QT is a time bomb that can go off at any moment. For
those who are aware that they have Long QT, it can be easily
treated and protected against by implanting an ICD and
taking beta blockers. But for those like me who had no
warning that they are susceptible to sudden cardiac arrest
and who generally are in good health, the Long QT syndrome
can be deadly. That is why I am grateful that organizations
like C.A.R.E. are increasing awareness about sudden cardiac
arrest, encouraging people to be trained in CPR, and
spearheading efforts to install AEDs in public areas. Please
join me in supporting C.A.R.E. so that more stories can end
as happily as mine did.
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