Heart attack

YOKI

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#3
What is the Golden Hour?

[TD="class: titlecenter"]Golden Hour for Heart Attack Patients[/TD]

[TD="class: titlecenterit"]Dr Manoj Agarwal[/TD]

[TD="class: titlecenterit"] [/TD]

[TD="class: normaltext"]

The Golden Hour is a window of opportunity that impacts a patient's survival and quality of life following a heart attack.

A heart attack occurs when a narrowing in the arteries and /or a sudden blockage from a blood clot cuts off the nutrients and oxygen supply to the heart muscle. The Golden Hour is a critical time because the heart muscle starts to die within 80-90 minutes after it stops getting blood, and within six hours, almost all the affected parts of the heart could be irreversibly damaged.

So, the faster normal blood flow is re-established, the lesser would be the damage to the heart. [/TD]

 

YOKI

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#4
What can we do in the Golden Hour for a heart attack patient? To reduce the damage to the heart, it is important to get to the hospital as soon as possible. Other than the consequences of a damaged heart muscle, the most common killer in the early period following a heart attack is an abnormal heart rhythm called ventricular tachycardia and ventricular fibrillation where the heart muscles contract at a rapid rate, but no effective pumping of blood from the heart takes place.

This is why we must ensure that once the person reaches a medical facility (ambulance or hospital), they are immediately put on an ECG monitor to assess the heart rhythm, so they can be given prompt treatment in case of an abnormal rhythm.
 

YOKI

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#5
How do we recognize a heart attack?
Many times, a person may not realize that he or she is having a heart attack, and quite a few who harbour doubts to that affect, spend a considerable length of time in self denial.

By and large, the warning signs are:

  • Chest discomfort
  • Discomfort in the arm, neck, or jaw
  • Shortness of breath
  • Nausea or light headedness
If you think you have one or more of these symptoms, you need to call the emergency services of a nearby hospital, or get somebody to drive you to the hospital.

Do not venture to drive yourself to hospital. Always seek help.
 

YOKI

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#6
What is the immediate treatment one can expect in a hospital?
Once the patient reaches the hospital, the primary goal of treatment would be to dissolve the obstructing clot, and restore blood supply to the affected part of the heart.

This is done, most commonly, by clot busting drugs. But of late, the preferred modality is mechanical dissolution of the clot by a procedure called as primary angioplasty.

Theonly prerequisite for angioplasty is that it can be done only in hospitals where a cardiac catheterization laboratory and doctors well versed with this procedure are available.

imagesheart.jpg
 

YOKI

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#7
What is angioplasty?
Primary Angioplasty is a procedure that involves inserting a catheter through the blood vessels up to the heart, and identifying the location of the clot, so that it could be dislodged with a balloon and a stent. The blood supply is then re-established to that portion of the heart.


angioplasty.jpg
 

YOKI

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#8
How important is it for angioplasty to be done in the Golden Hour?
The earlier blood supply is re-established, the lesser would be the damage to the heart, and so, lesser the chance of death and of functional disability.

Thus, it is very important to get to an emergency department quickly – within the Golden Hour - if one has reason to suspect that he/she is experiencing a heart attack.

artheroscl.jpg
 

nlakshmi

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#9
Even pain in the back like (moochu pudipu mudugula erpadura madhiri iurndhaalum), collecting of blood in one region.. like under the feet or thighs.. etc.. check the doctor.. Some heart attack(myocardial infarction(MI)) does not give time.. Sometimes there will be a silent MI which cannot be detected in the normal ECG/ even the blood pressure, sugar, blood cholesterol level will be normal and deceiving.. Do check regularly and check the heart with treadmill test.. because there will be hardly 15 min to 20 min to even recognize whats happening around the people..by the time you did, it will be out of your hands...
 

vijigermany

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#10
100% rise in heart ailments among Indian women

Heart diseases, including heart attacks, among Indian women have risen 300% in 40 years, with a 100% rise in the last 15 years alone. The American Heart Association campaign points out that one American woman dies every minute of a heart ailment.

Data for Indian women is not available, but doctors are unanimous that desi women are as vulnerable to heart diseases as their western counterparts .

"The problem here is that women tend to ignore symptoms and go late to the doctor,'' says Jaslok Hospital's Dr A B Mehta . The expert view is that lifestyle is the sole factor fuelling the alarming rise in the incidence of heart attacks. Women today face stress both at home and the workplace.
 

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