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Ischemic
heart disease is a disease characterized by
reduced blood supply to the heart. It is
the
most common cause of death in most western
countries, and is commonly referred
to as
a
heart
attack.
Ischaemia
means a "reduced blood supply". The coronary
arteries supply blood to the heart muscle
and no alternative blood supply exists, so a
blockage in the coronary arteries reduces
the supply of blood to heart muscle. Most
ischaemic heart disease / heart attack is caused by
atherosclerosis, even when the artery lumens
appear normal by angiography.
What is
Heart Attack?
-
Initially there is sudden severe narrowing
or closure of either the large coronary
arteries and/or of coronary artery end
branches by debris showering downstream in
the flowing blood. It is usually felt as
angina, especially if a large area is
affected.
- The
narrowing or closure is predominantly
caused by the covering of atheromatous
plaques within the wall of the artery
rupturing, in turn leading to
a heart attack
(Heart attacks caused by just artery
narrowing are rare).
-
A
heart attack causes damage to heart muscle
by cutting off its blood supply.

Heart Attack Symptoms and
Effect
Symptoms
of
Heart
Attack includes:
-
Temporary damage and pain (ischemia)
- Most
death is due to arrhythmias, usually
tachyarrhythmias
- Loss of
muscle activity (acute heart failure)
-
Permanent heart muscle damage, heart
muscle does not grow back (acute
myocardial infarction /infarct)
- Long
term loss of heart muscle activity
(chronic heart failure)
- Cardiac
arrhythmias: irregular heartbeat which can
be fatal.
- Other
structural damage to the heart including
damaged heart valves, actual perforation
of the heart and a thin walled fibrous
floppy heart.
Prevent or
delay heart attack.
- Do not
smoke.
-
prevent/treat hypertension (high blood
pressure)
-
Exercise regularly (Exercising the heart
muscle strengthens it, like any other)
- Avoid
obesity: increasing body fat stores,
especially intra-abdominal fat, increases
serum cholesterol, triglycerides, insulin
requirements and promotes
Diabetes
Mellitus plus chronicly increases
heart muscle workload.
- Avoid
excess process modified saturated fats,
often called transfats in the diet. Some
mono-unsaturated fats are probably
beneficial in reducing the risk of
heart
disease when consumed in moderation.
Dietary cholesterol intake is known to
have only limited effect on serum
cholesterol.
- Take
LDLipoprotein cholesterol reducing and
HDLipoprotein raising drugs and verfiy
both LDLipoprotein particle counts and
quantitative large HDLipoprotein response
to treatment.
Heart attack
prevention with
Transfer Factor
Cardio

Treatment of
Heart Attack
The option
required depends on the situation.
-
Specialised coronary care (the sooner the
better);
most deaths are due to sudden onset
arrhythmias, time is muscle and
survival.
-
Cardiopulmonary resuscitation (breathing
support, pulse and BP monitoring &
possible chest compressions).
- A
defibrillator can stop cardiac
arrhythmias.
- An
artificial pacemaker can speed up cardiac
bradyarrhythmias.
- Drugs
such as adrenaline can increase heart rate
and strength of contractions, although
also promote tachyarrhythmias.
-
Thrombolytic agents can clear away
compounding blood clots.
-
Anticoagulation can impede additional
blood clots.
-
Inotropic drugs will raise blood pressure.
- Unblock
arteries with angioplasty ("balloon
angioplasty with or without stents") or
surgery.
After
Heart Attack
-
Possible angioplasty or cardiac surgery.
-
Possibly the regular administration of
anti-coagulants to prevent further blood
clot complications.
-
Possibly the administration of drugs to
reduce heart arrhythmias although they
many also induce arrhythmias.
-
Increase exercise within limits of safety
(see prevention) to train the heart.
By: The Medical Symptoms
Database
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