From left: Cooper Phillips and Amanda Carrillo with Marilyn and Steve Regier at the 2018 Wichita Heart Walk. Cooper and Amanda performed CPR on Steve when he collapsed. (Photo by Angela Breer/AHA)

On a Monday in August, Steve Regier came home early from his office to prepare for a conference call later at home in Wichita, Kansas. Needing a break from a day of meetings, he decided to squeeze in a run.

With the thermometer past 95 degrees, Steve normally would have logged miles on his treadmill. But a remodeling of the kitchen forced the major appliances into the room where he exercised. So heading outdoors was his only option.

Soon into his run, he began coughing. He'd been coughing for days, enough to take pills containing epinephrine to combat congestion.

"This is great," he thought as the coughing spell began. "It's getting whatever it is out of my lungs."

The next thing he remembers is waking up in the hospital three days later.

What Steve later learned was that after a couple miles, he passed a home with someone working in the yard. That person, Cooper Phillips, gave him a neighborly wave, and Steve waved back.

A few seconds later, Amanda Carrillo, driving with her daughter in the car, had stopped at a nearby intersection to wait for traffic when they noticed a man lying in the middle of the street.

As Amanda jumped out of her car to help, Cooper noticed the commotion and raced over to also lend a hand. They found a man whose skin was turning purple, the only sound he made was raspy gurgles.

Steve had gone into cardiac arrest. The electricity in his heart went out, stopping his breathing and keeping blood from pumping. This is different from a heart attack, which is caused by a blockage in an artery. (Similar but different: Think of cardiac arrest as a power outage, a heart attack as a plumbing problem.)

Amanda called 911, and she and Cooper took turns administering Hands-Only CPR until EMS personnel arrived and took over. About 90 percent of people who experience an out-of-hospital cardiac arrest die. But nearly 45 percent of out-of-hospital cardiac arrest victims survive when bystander CPR is administered, according to 2014 data.

"Everything worked out so unbelievably perfect," Steve said. "Cooper said he'd come home early and wanted to mow the lawn. Amanda said she'd been talking to someone and was running late. The ambulance was nearby, on its way to pick up a non-emergency patient. My bad luck was also my good luck."

Thanks to Steve having filled out the emergency medical information in the health app on his iPhone, medical personnel immediately located his medical information as well as his emergency contact – his wife, Marilyn, who happens to be a nurse in the neonatal intensive care unit of the same hospital Steve was taken to, Wesley Medical Center.

Marilyn was so shaken by the news that she had to have a friend walk her to the emergency room.

"Of course, I'd been there before, but I didn't think I'd be able to find it," she said. "I couldn't even use my phone."

The couple's son, then a senior in high school, and daughter, then in college, joined her later at the hospital.

Initially, Marilyn assumed Steve's heart problem was related to a six-way bypass he'd had 10 years earlier. But doctors determined that the cardiac arrest was a freak occurrence caused by a combination of circumstances – the epinephrine he'd taken, physical exertion in extreme heat and an undiagnosed case of fungal pneumonia from dust he'd inhaled during the kitchen remodeling.

When Steve arrived at the hospital, doctors put him into a medically induced coma and lowered his body temperature to help reduce the possibility – or severity – of brain damage. Three days later, they brought him out of it. For Marilyn, that was the scariest part – how would he respond?

"When he came off the ventilator, he was obsessed with half a tooth he'd lost, and he kept cussing about it. He doesn't curse like that, so that was really weird," she said. Thankfully, she said, the bad language and most of the short-term memory loss faded within 24 hours.

Doctors discussed whether Steve needed an implantable cardioverter defibrillator, a device that can detect when the heartbeat is too fast or chaotic and gives electric shocks to stop the abnormal rhythm. While one cardiologist thought it may not be necessary, Marilyn insisted.

"Had he not had it put in, I couldn't have functioned," she said. "Having that has given us both a huge peace of mind."

Steve is back to jogging (albeit slower), which Marilyn is trying to accept.

"Every time he tells me he wants to go for a run, I tell him, ‘Can't you just walk fast?'" she said. "But I do want to get beyond that."

Steve and Marilyn both sing the praises of Cooper and Amanda. They gave them each heart-shaped cookies after Steve was back home.

In 2018, less than a year after Steve's cardiac arrest, the foursome walked together as a team in the Wichita Heart Walk. Steve will be chairman of the 2019 event on June 8. He said it's a great platform to spread the word about the importance of knowing Hands-Only CPR.

"I understand that people get nervous about mouth-to-mouth CPR, and I want them to know that it's not necessary," he said. "Even with your hands, you can make a huge difference in somebody's life. When you start thinking about the ripple effect in someone's life – their work, their friends, their family – it's pretty staggering."

Stories From the Heart chronicles the inspiring journeys of heart disease and stroke survivors, caregivers and advocates.

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