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Heart Attach Prevention

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Symptoms  of Heart Attack

Heart Attack Information

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.

 

Prevention of Heart Attack

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.

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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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